Healthcare Provider Details

I. General information

NPI: 1477407278
Provider Name (Legal Business Name): SAGE HORIZON BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7845
US

IV. Provider business mailing address

6300 RIVERSIDE PLAZA LN NW STE 118
ALBUQUERQUE NM
87120-2617
US

V. Phone/Fax

Practice location:
  • Phone: 281-805-3208
  • Fax: 281-805-3209
Mailing address:
  • Phone: 281-805-3208
  • Fax: 281-805-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: NECOLE LIMBRICK
Title or Position: OWNER
Credential:
Phone: 281-805-3208