Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandia Crest Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1932373743

Sandia Crest Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Moriarty, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.

Licensed in
NM
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 US Route 66 Ste D
Moriarty, NM 87035
Phone: (505) 384-1034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R45675 (NM)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence R45675 (NM)

Record details

NPI number1932373743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Lobaugh — Ownder · (505) 463-2072
NPI enumeratedApril 14, 2008
Last updated in NPPESSeptember 19, 2012
Mailing addressPo Box 3823, Moriarty, NM 87035-3823

Other providers in Moriarty