Provider Demographics
NPI:1720373004
Name:WHFP,LLC
Entity Type:Organization
Organization Name:WHFP,LLC
Other - Org Name:MEANINGFUL LIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-603-9373
Mailing Address - Street 1:PO BOX 22267
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87502-2267
Mailing Address - Country:US
Mailing Address - Phone:505-603-9373
Mailing Address - Fax:505-473-0044
Practice Address - Street 1:2865 CERRILLOS RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2311
Practice Address - Country:US
Practice Address - Phone:505-603-9373
Practice Address - Fax:505-473-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMTBD1Medicaid