| La Ventana Behavioral Health, Llc | |
|
1990 E Lohman Ave Ste A Las Cruces NM 88001-3117 | |
| (575) 522-4602 | |
| (575) 522-2263 |
| Full Name | La Ventana Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1990 E Lohman Ave Ste A, Las Cruces, New Mexico |
| Authorized Official Name and Position | Lorena Garcia (PROVIDER/OWNER) |
| Authorized Official Contact | 5755224602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Ventana Behavioral Health, Llc 1990 E Lohman Ave Ste A Las Cruces NM 88001-3117 Ph: (575) 522-4602 | La Ventana Behavioral Health, Llc 1990 E Lohman Ave Ste A Las Cruces NM 88001-3117 Ph: (575) 522-4602 |
| NPI Number | 1821575671 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 12/10/2023 |
| Certification Date | 12/10/2023 |
| Medicare PECOS PAC ID | 7810231750 |
|---|---|
| Medicare Enrollment ID | O20181204003356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821575671 | NPI | - | NPPES |
| 79559247 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | CNP-02160 (New Mexico) | Primary |
| Provider Name | Sandra Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407090947 PECOS PAC ID: 3870763618 Enrollment ID: I20111031000535 |
| Provider Name | Herlinda Magill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043596067 PECOS PAC ID: 3870721749 Enrollment ID: I20140123000350 |
| Provider Name | Lorena C Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457694606 PECOS PAC ID: 9133434681 Enrollment ID: I20150813009868 |
| Provider Name | Heidi M Pattarozzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649528621 PECOS PAC ID: 2264723030 Enrollment ID: I20200309001383 |
| Provider Name | Pamela J Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396432332 PECOS PAC ID: 3476997180 Enrollment ID: I20240221003432 |
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