| Megan Goepfert, Lcsw, Imh-e (iii) | |
|
2801 Missouri Ave Ste 8 Las Cruces NM 88011-5061 | |
| (575) 201-3799 | |
| (575) 993-5017 |
| Full Name | Megan Goepfert, Lcsw, Imh-e (iii) |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2801 Missouri Ave Ste 8, Las Cruces, New Mexico |
| Authorized Official Name and Position | Megan Goepfert (OWNER) |
| Authorized Official Contact | 5752013799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Goepfert, Lcsw, Imh-e (iii) 2801 Missouri Ave Ste 8 Las Cruces NM 88011-5061 Ph: (575) 201-3799 | Megan Goepfert, Lcsw, Imh-e (iii) 2801 Missouri Ave Ste 8 Las Cruces NM 88011-5061 Ph: (575) 201-3799 |
| NPI Number | 1205491651 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205491651 | NPI | - | NPPES |
| 1164870754 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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