Labyrinth Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LABYRINTH BEHAVIORAL HEALTH LLC

Practice address

1330 San Pedro Dr NE Ste 205J
Albuquerque, NM 87110-6749

Phone

(505) 445-0774

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Fallon GravelyNPI 1417380700

Title

Owner

Phone

(505) 445-0774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fallon Laws Gravely, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1417380700
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1669197802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749",
            "telephone_number": "505-445-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABYRINTH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "GRAVELY",
        "authorized_official_first_name": "FALLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-445-0774"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Renee Laberge, BSW
• Labor of Love Home Health Services, LLC
• Labor of Love Home Health Services, LLC
• Maria Rosa Laboy, MSW
• Juliet Anne D'Angelo Labreche, MD
• Amanda Lacasse, RN
• Diane Marie Byrd Lacen, LMHC
• Gwen Nicole Lacerda, M.D.
• Kayla Lachance
• Leeanne Elizabeth Lachey-Barbee, FNP, BC

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.