Provider Demographics
NPI:1942404090
Name:ZIMMERMAN CONSULTING, INC.
Entity Type:Organization
Organization Name:ZIMMERMAN CONSULTING, INC.
Other - Org Name:SANDHILL CHILD DEVELOPMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-866-9271
Mailing Address - Street 1:15 JEMEZ DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7624
Mailing Address - Country:US
Mailing Address - Phone:505-866-9271
Mailing Address - Fax:505-866-9278
Practice Address - Street 1:15 JEMEZ DRIVE
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-7624
Practice Address - Country:US
Practice Address - Phone:505-866-9271
Practice Address - Fax:505-866-9278
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZIMMERMAN CONSULTING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-13
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1112322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM600617OtherVALUE OPTIONS NEW MEXICO
NM98902563Medicaid