Aspen Creek Counseling | |
2801 Missouri Ave Ste 8 Las Cruces NM 88011-5061 | |
(575) 242-1100 | |
(575) 993-5014 |
Full Name | Aspen Creek Counseling |
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Speciality | Community/Behavioral Health |
Location | 2801 Missouri Ave Ste 8, Las Cruces, New Mexico |
Authorized Official Name and Position | Mary L Farrell (CEO) |
Authorized Official Contact | 5752421100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspen Creek Counseling 3001 E Springs Rd Las Cruces NM 88011-5295 Ph: (575) 242-1100 | Aspen Creek Counseling 2801 Missouri Ave Ste 8 Las Cruces NM 88011-5061 Ph: (575) 242-1100 |
NPI Number | 1740744630 |
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Provider Enumeration Date | 01/25/2019 |
Last Update Date | 02/09/2024 |
Certification Date | 02/09/2024 |
Medicare PECOS PAC ID | 0648615948 |
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Medicare Enrollment ID | O20240227000177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740744630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Mary L Farrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417407370 PECOS PAC ID: 1658716949 Enrollment ID: I20240227000144 |
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