Behavior Therapy Service, Llc | |
5075 Chato Ct Las Cruces NM 88012-9728 | |
(575) 644-8846 | |
(575) 522-5717 |
Full Name | Behavior Therapy Service, Llc |
---|---|
Speciality | Social Worker |
Location | 5075 Chato Ct, Las Cruces, New Mexico |
Authorized Official Name and Position | Michael J Rourke (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5756448846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavior Therapy Service, Llc Po Box 16667 Las Cruces NM 88004-6667 Ph: (575) 644-8846 | Behavior Therapy Service, Llc 5075 Chato Ct Las Cruces NM 88012-9728 Ph: (575) 644-8846 |
NPI Number | 1588267058 |
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Provider Enumeration Date | 11/18/2020 |
Last Update Date | 11/18/2020 |
Certification Date | 10/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588267058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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