| 4 Directions Integrative Mental Health, Llc | |
|
125 W Boutz Rd Las Cruces NM 88005-3118 | |
| (575) 523-5222 | |
| (575) 523-8031 |
| Full Name | 4 Directions Integrative Mental Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 W Boutz Rd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Annette Mirabal (PARTNER) |
| Authorized Official Contact | 5755201536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Directions Integrative Mental Health, Llc Po Box 3148 Mesilla Park NM 88047-3148 Ph: (575) 523-5222 | 4 Directions Integrative Mental Health, Llc 125 W Boutz Rd Las Cruces NM 88005-3118 Ph: (575) 523-5222 |
| NPI Number | 1013559038 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 1153750476 |
|---|---|
| Medicare Enrollment ID | O20200407001499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013559038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Annette Csw Mirabal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053780023 PECOS PAC ID: 7416386735 Enrollment ID: I20200504002110 |
| Provider Name | Laura Bruggemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174802953 PECOS PAC ID: 0042649360 Enrollment ID: I20200504002156 |
| Provider Name | Megan L Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467833244 PECOS PAC ID: 3476924614 Enrollment ID: I20230125002663 |
| Provider Name | Elizabeth C Royer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811235039 PECOS PAC ID: 7315318565 Enrollment ID: I20230125003064 |
Fyi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1320 S. Solano Drive, Las Cruces, NM 88001 Phone: 505-522-4004 Fax: 505-522-9017 | |
Healty Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-524-0767 Fax: 575-528-5539 | |
Clear Lake Studio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Anita Dr, Las Cruces, NM 88001 Phone: 915-345-5489 Fax: 575-541-3690 | |
Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 |