| Atb Behavioral Health Services, Pc | |
|
721 W Apache St Farmington NM 87401-5512 | |
| (970) 946-5173 | |
| (505) 787-2174 |
| Full Name | Atb Behavioral Health Services, Pc |
|---|---|
| Speciality | Counselor |
| Location | 721 W Apache St, Farmington, New Mexico |
| Authorized Official Name and Position | Amber Layton (CLINICAL COUNSELOR) |
| Authorized Official Contact | 5059479990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atb Behavioral Health Services, Pc 711 Maraboots Cir Aztec NM 87410-2080 Ph: () - | Atb Behavioral Health Services, Pc 721 W Apache St Farmington NM 87401-5512 Ph: (970) 946-5173 |
| NPI Number | 1982147187 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 09/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982147187 | NPI | - | NPPES |
| 1518208701 | Medicaid | NM | |
| 58635815 | Medicaid | NM | |
| 1568883528 | Medicaid | NM | |
| 1912166844 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0179081 (New Mexico) | Primary |
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