| La Buena Vida, Inc. | |
|
872 Camino Del Pueblo Bernalillo NM 87004 | |
| (505) 867-2383 | |
| (505) 867-7293 |
| Full Name | La Buena Vida, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 872 Camino Del Pueblo, Bernalillo, New Mexico |
| Authorized Official Name and Position | Kirsten Marie Choubard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5058672383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Buena Vida, Inc. Po Box 1147 Bernalillo NM 87004-1147 Ph: (505) 867-2383 | La Buena Vida, Inc. 872 Camino Del Pueblo Bernalillo NM 87004 Ph: (505) 867-2383 |
| NPI Number | 1386676856 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386676856 | NPI | - | NPPES |
| E7034 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3043 (New Mexico) | Primary |
Madeleine N Stevens Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-385-5281 | |
Teambuilders Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2383 Fax: 505-867-7293 | |
Valle Del Sol Of New Mexico, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 S Camino Del Pueblo, Suite 2c, Bernalillo, NM 87004 Phone: 602-258-6797 Fax: 602-248-8113 | |
Five Sandoval Indian Pueblos, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1043 Hwy 313, Bernalillo, NM 87004 Phone: 505-867-3351 Fax: 505-867-3514 | |
Bernalillo Public Schools (bps) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-404-5716 |