| Sierra Vista Counseling Center | |
|
800 East Ninth Street Truth Or Consequences NM 87901 | |
| (505) 894-2111 | |
| (505) 894-7658 |
| Full Name | Sierra Vista Counseling Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 800 East Ninth Street, Truth Or Consequences, New Mexico |
| Authorized Official Name and Position | Domenica M Rush (CEO) |
| Authorized Official Contact | 5058942111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Counseling Center 800 East Ninth Street Truth Or Consequences NM 87901 Ph: (505) 894-2111 | Sierra Vista Counseling Center 800 East Ninth Street Truth Or Consequences NM 87901 Ph: (505) 894-2111 |
| NPI Number | 1205893377 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205893377 | NPI | - | NPPES |
| 34722751 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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