| Activate Behavioral Health Llc | |
|
2501 E 20th St Ste 19 Farmington NM 87401-4447 | |
| (505) 634-9289 | |
| Not Available |
| Full Name | Activate Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2501 E 20th St Ste 19, Farmington, New Mexico |
| Authorized Official Name and Position | Mystri Hipsher (THERAPIST) |
| Authorized Official Contact | 5056353087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activate Behavioral Health Llc 2501 E 20th St Ste 19 Farmington NM 87401-4447 Ph: () - | Activate Behavioral Health Llc 2501 E 20th St Ste 19 Farmington NM 87401-4447 Ph: (505) 634-9289 |
| NPI Number | 1801541875 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801541875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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