| Southeast Mental Health Services | |
|
404 N Main St Rocky Ford CO 81067-1256 | |
| (719) 384-5446 | |
| (719) 384-5672 |
| Full Name | Southeast Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 404 N Main St, Rocky Ford, Colorado |
| Authorized Official Name and Position | Lisa Chavez (CONTRACT & 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 404 N Main St Rocky Ford CO 81067-1256 Ph: (719) 384-5446 |
| NPI Number | 1407497290 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407497290 | NPI | - | NPPES |
| 9000151062 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Lighthouse Psychology Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 S 12th St, Rocky Ford, CO 81067 Phone: 719-225-0311 | |
Lotusom, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 408 N Main St Ste F, Rocky Ford, CO 81067 Phone: 719-423-8834 Fax: 719-316-2753 | |
Southeast Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 963 Elm Ave, Rocky Ford, CO 81067 Phone: 719-384-5446 Fax: 719-384-5672 | |
Willow Tree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 N Main St, Rocky Ford, CO 81067 Phone: 719-696-8426 |