| Passionate Minds Behavioral Health Llc | |
|
185 Osprey Ct Santa Teresa NM 88008-9502 | |
| (915) 701-6864 | |
| Not Available |
| Full Name | Passionate Minds Behavioral Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 185 Osprey Ct, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Matthew Bryan (OWNER) |
| Authorized Official Contact | 9157016864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passionate Minds Behavioral Health Llc 185 Osprey Ct Santa Teresa NM 88008-9502 Ph: (915) 701-6864 | Passionate Minds Behavioral Health Llc 185 Osprey Ct Santa Teresa NM 88008-9502 Ph: (915) 701-6864 |
| NPI Number | 1205675154 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205675154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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