Provider Demographics
NPI:1659689164
Name:LSALOMONE PHD LLC
Entity Type:Organization
Organization Name:LSALOMONE PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALOMONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:505-292-9071
Mailing Address - Street 1:1639 BETTS ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112
Mailing Address - Country:US
Mailing Address - Phone:505-292-9071
Mailing Address - Fax:505-275-7184
Practice Address - Street 1:1639 BETTS ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-4267
Practice Address - Country:US
Practice Address - Phone:505-292-9071
Practice Address - Fax:505-275-7184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty