Sierra Vista Counseling, Llc | |
1109 Mesa Blvd Suite D Grants NM 87020-3038 | |
(505) 287-3773 | |
(505) 287-5011 |
Full Name | Sierra Vista Counseling, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1109 Mesa Blvd, Grants, New Mexico |
Authorized Official Name and Position | Beverly Michael (CO-OWNER/DIRECTOR) |
Authorized Official Contact | 5052873773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sierra Vista Counseling, Llc 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 | Sierra Vista Counseling, Llc 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 |
NPI Number | 1902047160 |
---|---|
Provider Enumeration Date | 03/18/2009 |
Last Update Date | 07/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902047160 | NPI | - | NPPES |
24331350 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 8 days ago
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