| Southeast Mental Health Services | |
|
437 6th St Las Animas CO 81054-1714 | |
| (719) 384-5446 | |
| (719) 384-5672 |
| Full Name | Southeast Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 437 6th St, Las Animas, Colorado |
| Authorized Official Name and Position | Lisa Chavez (CONTRACT AND CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193835448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mental Health Services 711 Barnes Ave La Junta CO 81050-2138 Ph: (719) 384-5446 | Southeast Mental Health Services 437 6th St Las Animas CO 81054-1714 Ph: (719) 384-5446 |
| NPI Number | 1497396287 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497396287 | NPI | - | NPPES |
| 13880063 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |