| Amanecer Community Counseling Center | |
|
5305 Mcnutt Rd Santa Teresa NM 88008-9685 | |
| (575) 882-5100 | |
| (575) 882-1151 |
| Full Name | Amanecer Community Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5305 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Claudia Hernandez (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5758825100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanecer Community Counseling Center 5305 Mcnutt Rd Santa Teresa NM 88008-9685 Ph: (575) 882-5100 | Amanecer Community Counseling Center 5305 Mcnutt Rd Santa Teresa NM 88008-9685 Ph: (575) 882-5100 |
| NPI Number | 1033663984 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Medicare PECOS PAC ID | 4486938446 |
|---|---|
| Medicare Enrollment ID | O20170313000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033663984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sandra Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881862654 PECOS PAC ID: 3375868524 Enrollment ID: I20150210000534 |
| Provider Name | Valerie Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538670468 PECOS PAC ID: 8628337920 Enrollment ID: I20201008000551 |
| Provider Name | Kathleen A Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548617566 PECOS PAC ID: 8426421165 Enrollment ID: I20230228003008 |
| Provider Name | Cristina Robledo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942956776 PECOS PAC ID: 8921466699 Enrollment ID: I20230628001486 |
| Provider Name | Ruben Velez Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447023932 PECOS PAC ID: 5294275665 Enrollment ID: I20240918002482 |
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