Larry Rayburn Psychotherapy
Organization Active NPI Community/Behavioral Health Agency · Santa Fe, NM
NPI 1235666249 · NPPES record last updated May 22, 2017
Key facts
- NPI
- 1235666249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 0100911 (NM)
- Legal business name
- LARRY RAYBURN PSYCHOTHERAPY
- Practice address
- 1503 Llano St Ste a
Santa Fe, NM 87505-2000 - Phone
- (505) 310-5698
- NPI assigned
- May 22, 2017
- Organization subpart
- No
Authorized official
- Name
- Larry Rayburn, LPCC
- Title
- Owner
- Phone
- (505) 310-5698
National Provider Directory
Locations
1503 Llano St
Ste A
Santa Fe, NM 87505
Phone (505) 310-5698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0100911 | NM | Yes |
Addresses
Primary practice location
1503 Llano St Ste a
Santa Fe, NM 87505-2000
Mailing address
1411 Santa Cruz Dr
Santa Fe, NM 87505-3861
Phone (505) 310-5698
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- Ramon A Larranaga Jr.
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- Larry L Cohen MD, PC
- Madeleine Fisher Larsen
- Philip Reed Larsen Jr.
- Robert Charles Larsen
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All providers in Santa Fe, NM · Community/Behavioral Health Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.