| Mora Independent School | |
|
Highway 518 Ranger Rd Mora NM 87732 | |
| (505) 387-3109 | |
| Not Available |
| Full Name | Mora Independent School |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | Highway 518 Ranger Rd, Mora, New Mexico |
| Authorized Official Name and Position | Ann Garcia (MEDICAID COORDINATOR) |
| Authorized Official Contact | 5053873109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mora Independent School Po Box 179 Mora NM 87732-0179 Ph: () - | Mora Independent School Highway 518 Ranger Rd Mora NM 87732 Ph: (505) 387-3109 |
| NPI Number | 1952434540 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952434540 | NPI | - | NPPES |
| 47265 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | 247324 (New Mexico) | Primary |
| 235Z00000X | Speech-language Pathologist | 122095 (New Mexico) | Primary |
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Vicki K Stiles Lpcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 State Hwy 518, Mora, NM 87732 Phone: 575-387-5165 | |
Oasis Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Nm-94, Mora, NM 87732 Phone: 505-617-1180 | |
Kids Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 State Highway 434, Mora, NM 87732 Phone: 575-642-8046 |