Gallant Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GALLANT MENTAL HEALTH LLC

Practice address

6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172

Phone

(505) 225-7122

Fax

(505) 225-7188

NPI assigned

Nov 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Idowu M Awosere

Title

Aprn, Pmhnp-BC

Phone

(505) 225-7122

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1023773876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 AMERICAS PKWY NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108172",
            "telephone_number": "505-225-7122",
            "fax_number": "505-225-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 AMERICAS PKWY NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108172",
            "telephone_number": "505-225-7122",
            "fax_number": "505-225-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLANT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "AWOSERE",
        "authorized_official_first_name": "IDOWU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APRN, PMHNP-BC",
        "authorized_official_telephone_number": "505-225-7122"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D Renai Gallagher, DPT
• Isidora P Gallagher, MD
• Jessica Gallagher, PHARMD
• Kelly Gallagher, CNM
• Margaret Lynnessa Gallagher, L.P.C.C.
• Debra Sue Gallant, LPCC
• Dion Gallant, MD
• Joanne Dorilda Gallant
• Jorge L. Gallardo, MD STUDENT
• Maria R Gallardo

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.