| Arbol De La Vida Psychological Services, Llc | |
|
2488 Calle De Guadalupe Mesilla NM 88046-0594 | |
| (915) 494-0671 | |
| Not Available |
| Full Name | Arbol De La Vida Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2488 Calle De Guadalupe, Mesilla, New Mexico |
| Authorized Official Name and Position | Virginia Longoria (OWNER) |
| Authorized Official Contact | 9154940671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbol De La Vida Psychological Services, Llc 703 N Reymond St Las Cruces NM 88005-2135 Ph: (915) 494-0671 | Arbol De La Vida Psychological Services, Llc 2488 Calle De Guadalupe Mesilla NM 88046-0594 Ph: (915) 494-0671 |
| NPI Number | 1932771805 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 06/15/2021 |
| Medicare PECOS PAC ID | 4880092972 |
|---|---|
| Medicare Enrollment ID | O20211004001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932771805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Virginia Longoria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285099556 PECOS PAC ID: 0840535092 Enrollment ID: I20181217003028 |
Anxiety Treatment Center Of The Southwest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Tierra De Mesilla, Mesilla, NM 88046 Phone: 575-405-7992 Fax: 575-527-1689 |