Provider Demographics
NPI:1225114598
Name:LIFEWORKS UNLIMITED INC
Entity Type:Organization
Organization Name:LIFEWORKS UNLIMITED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:PASTORA
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:575-523-4036
Mailing Address - Street 1:PO BOX 13914
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88013-3914
Mailing Address - Country:US
Mailing Address - Phone:575-523-4036
Mailing Address - Fax:575-523-4038
Practice Address - Street 1:3831 E LOHMAN AVE # 2
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8266
Practice Address - Country:US
Practice Address - Phone:575-523-4036
Practice Address - Fax:575-523-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1297103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM86998OtherPRESBYTERIAN
NMNM102144OtherVALUE OPTIONS
NM00NM00JM73OtherBLUE CROSS BLUE SHIELD
NM53784740Medicaid
NM86998OtherPRESBYTERIAN