| Rio Vista Counseling | |
|
1400 Barbara Loop Se Suite D Rio Rancho NM 87124-1088 | |
| (505) 507-4408 | |
| (505) 867-6059 |
| Full Name | Rio Vista Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Barbara Loop Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Elizabeth Susan Speaker (PRESIDENT) |
| Authorized Official Contact | 5055074408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Vista Counseling 1400 Barbara Loop Se Suite D Rio Rancho NM 87124-1088 Ph: (505) 507-4408 | Rio Vista Counseling 1400 Barbara Loop Se Suite D Rio Rancho NM 87124-1088 Ph: (505) 507-4408 |
| NPI Number | 1063682458 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063682458 | NPI | - | NPPES |
| 35473011 | Medicaid | NM | |
| VNM012413PS | Medicaid | NM | |
| 1255457339 | Medicaid | NM | |
| VNM012413PX | Medicaid | NM | |
| VNM012413OT | Medicaid | NM | |
| VNM012413NI | Medicaid | NM | |
| VNM012413NO | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (New Mexico) | Primary |
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