All Nations Behavioral Health, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ALL NATIONS BEHAVIORAL HEALTH, LLC

Practice address

3916 Juan Tabo Blvd NE
Suite 3
Albuquerque, NM 87111-3974

Phone

(505) 292-3655

Fax

(505) 298-1281

NPI assigned

Apr 15, 2014

Organization subpart

No

Name

Mr. Lee David Simmons Jr., MSSWNPI 1326379827

Title

Ceo

Phone

(575) 937-4743

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee David Simmons Jr., MSSW/LISW

  • Clinical Social Worker
  • Mescalero, NM
  • NPI 1326379827
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2014.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1457770653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400620",
            "telephone_number": "575-937-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 JUAN TABO BLVD NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113974",
            "telephone_number": "505-292-3655",
            "fax_number": "505-298-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL NATIONS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-937-4743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.