| La Reencuentro Llc | |
|
1690 N Main St Las Cruces NM 88001-1155 | |
| (575) 888-0100 | |
| Not Available |
| Full Name | La Reencuentro Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1690 N Main St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Valerie A Burgelin (OWNER) |
| Authorized Official Contact | 5758880100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Reencuentro Llc 10641 Windsmont Ct Lehigh Acres FL 33936-7268 Ph: (239) 258-1477 | La Reencuentro Llc 1690 N Main St Las Cruces NM 88001-1155 Ph: (575) 888-0100 |
| NPI Number | 1154869873 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 01/27/2023 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 2163777137 |
|---|---|
| Medicare Enrollment ID | O20180614001735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154869873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Valerie A Burgelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649290081 PECOS PAC ID: 1951323591 Enrollment ID: I20060109000519 |
Fyi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1320 S. Solano Drive, Las Cruces, NM 88001 Phone: 505-522-4004 Fax: 505-522-9017 | |
Healty Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-524-0767 Fax: 575-528-5539 | |
Clear Lake Studio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Anita Dr, Las Cruces, NM 88001 Phone: 915-345-5489 Fax: 575-541-3690 | |
Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
4 Directions Integrative Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 W Boutz Rd, Las Cruces, NM 88005 Phone: 575-523-5222 Fax: 575-523-8031 | |
Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 |