| Sierra Vista Counseling, Llc | |
|
1109 Mesa Blvd Suite D Grants NM 87020-3038 | |
| (505) 287-3773 | |
| (505) 287-5011 |
| Full Name | Sierra Vista Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1109 Mesa Blvd, Grants, New Mexico |
| Authorized Official Name and Position | Beverly Michael (CO-OWNER/DIRECTOR) |
| Authorized Official Contact | 5052873773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Counseling, Llc 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 | Sierra Vista Counseling, Llc 1109 Mesa Blvd Suite D Grants NM 87020-3038 Ph: (505) 287-3773 |
| NPI Number | 1902047160 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902047160 | NPI | - | NPPES |
| 24331350 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Sierra Vista Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Mesa Blvd, Suite D, Grants, NM 87020 Phone: 505-287-3773 Fax: 505-287-5115 | |
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