| Sierra Vista Counseling | |
|
1109 Mesa Blvd Suite D Grants NM 87020-3038 | |
| (505) 287-3773 | |
| (505) 287-5115 |
| Full Name | Sierra Vista Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1109 Mesa Blvd, Grants, New Mexico |
| Authorized Official Name and Position | Beverly Michael (OWNER/OPERATOR) |
| Authorized Official Contact | 5052873773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Counseling 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 | Sierra Vista Counseling 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 |
| NPI Number | 1295910065 |
|---|---|
| Provider Enumeration Date | 12/29/2007 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295910065 | NPI | - | NPPES |
| 24331350 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03-074959-00-0 (New Mexico) | Primary |
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