Provider Demographics
NPI:1588074926
Name:LANI SOLUTIONS, LLC
Entity type:Organization
Organization Name:LANI SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACKSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:505-699-9762
Mailing Address - Street 1:2795 VIA CABALLERO DEL SUR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5333
Mailing Address - Country:US
Mailing Address - Phone:505-699-9762
Mailing Address - Fax:505-780-5123
Practice Address - Street 1:2795 VIA CABALLERO DEL SUR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5333
Practice Address - Country:US
Practice Address - Phone:505-699-9762
Practice Address - Fax:505-780-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0141331251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health