| Rio Valle Behavioral Health Centre | |
|
101 Livinston Loop Bldg C Suite 3 Santa Teresa NM 88008 | |
| (575) 589-2025 | |
| (575) 589-2605 |
| Full Name | Rio Valle Behavioral Health Centre |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Livinston Loop, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Aleksandr Gazarov (OWNER,PRESIDENT) |
| Authorized Official Contact | 5755892025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Valle Behavioral Health Centre 101 Livingston Loop,bldg C Sutie 3 Santa Teresa NM 88008 Ph: (575) 589-2025 | Rio Valle Behavioral Health Centre 101 Livinston Loop Bldg C Suite 3 Santa Teresa NM 88008 Ph: (575) 589-2025 |
| NPI Number | 1912061235 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 11/04/2013 |
| Medicare PECOS PAC ID | 1456450816 |
|---|---|
| Medicare Enrollment ID | O20070626000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912061235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | MD2004-0757 (New Mexico) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD2004-0757 (New Mexico) | Primary |
| Provider Name | Aleksandr G Gazarov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932282225 PECOS PAC ID: 2062518301 Enrollment ID: I20070503000381 |
Amanecer Community Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5305 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-882-5100 Fax: 575-882-1151 | |
Peter Smith Psyd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Livingston Loop Ste 1, Santa Teresa, NM 88008 Phone: 505-506-2546 Fax: 575-201-7070 | |
Bienestar Family Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 915-203-5103 Fax: 575-541-3669 | |
Rebecca Majors Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Mcnutt Rd Ste 11, Santa Teresa, NM 88008 Phone: 915-256-0415 | |
Cm Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5305 Mcnutt Rd Ste 203, Santa Teresa, NM 88008 Phone: 915-588-1464 | |
Passionate Minds Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Osprey Ct, Santa Teresa, NM 88008 Phone: 915-701-6864 | |
Rx Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Mcnutt Rd, Suite 12, Santa Teresa, NM 88008 Phone: 575-332-9138 Fax: 915-231-6111 |