| Casa De Corazon | |
|
314 Don Fernando St Pob 2360 Taos NM 87571-5953 | |
| (575) 751-7037 | |
| (575) 751-3010 |
| Full Name | Casa De Corazon |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 314 Don Fernando St, Taos, New Mexico |
| Authorized Official Name and Position | John Anthony Depaula (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5057517037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Corazon 314 Don Fernando St Taos NM 87571-5953 Ph: (575) 751-7037 | Casa De Corazon 314 Don Fernando St Pob 2360 Taos NM 87571-5953 Ph: (575) 751-7037 |
| NPI Number | 1649310749 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 04/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649310749 | NPI | - | NPPES |
| 84472855 | Medicaid | NM | |
| J6668 | Medicaid | NM | |
| M1866 | Medicaid | NM | |
| 11034254 | Medicaid | NM | |
| R8496 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 0752 (New Mexico) | Primary |
A Port In A Storm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd Ste H, Taos, NM 87571 Phone: 575-737-9352 Fax: 575-737-5054 | |
Taos Pueblo Cms Administration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Rotten Tree Road, Taos, NM 87571 Phone: 575-758-7824 Fax: 575-758-3346 | |
Bluebird, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Gusdorf Rd Ste B, Taos, NM 87571 Phone: 575-751-4065 Fax: 575-751-4075 | |
Kathy E. Linton, Ms, Lpcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Paseo Del Pueblo Sur, Suite 101, Taos, NM 87571 Phone: 575-224-1526 | |
New Mexico Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 Paseo Del Pueblo Sur, Taos, NM 87571 Phone: 505-560-9355 | |
Taos Family And Couples Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 224-628-6373 | |
Dc Jackson Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Grizzly Bear Run Rd, Taos, NM 87571 Phone: 505-523-0066 |