| Leal Behavioral Health Llc | |
|
904 Cherry Hill Ln El Paso TX 79912-3327 | |
| (915) 383-1401 | |
| Not Available |
| Full Name | Leal Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 904 Cherry Hill Ln, El Paso, Texas |
| Authorized Official Name and Position | Rey Leal (PRESIDENT) |
| Authorized Official Contact | 9153831401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leal Behavioral Health Llc 904 Cherry Hill Ln El Paso TX 79912-3327 Ph: (915) 383-1401 | Leal Behavioral Health Llc 904 Cherry Hill Ln El Paso TX 79912-3327 Ph: (915) 383-1401 |
| NPI Number | 1356085674 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 2365820453 |
|---|---|
| Medicare Enrollment ID | O20220601002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356085674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Rey Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124233796 PECOS PAC ID: 8325096910 Enrollment ID: I20050829000109 |
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