| Riverbear Counseling Llc | |
|
16306 Hwy 64/84 Chama NM 87520 | |
| (575) 209-1769 | |
| (575) 756-1560 |
| Full Name | Riverbear Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16306 Hwy 64/84, Chama, New Mexico |
| Authorized Official Name and Position | Stephanie Horner (OWNER) |
| Authorized Official Contact | 5757561560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverbear Counseling Llc P.o. Box 1241 Chama NM 87520-1241 Ph: (575) 756-1560 | Riverbear Counseling Llc 16306 Hwy 64/84 Chama NM 87520 Ph: (575) 209-1769 |
| NPI Number | 1376814137 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376814137 | NPI | - | NPPES |
| 66931339 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0091811 (New Mexico) | Primary |
Therapeutic Solutions Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 South Terrace Avenue, Chama, NM 87520 Phone: 575-209-0223 | |
North Central Community Based Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16542 Hwy 84, Chama, NM 87520 Phone: 575-756-2327 Fax: 575-756-1897 |