| Tafoya & Associates Behavioral Health | |
|
715 E Idaho Ave Ste 2e Las Cruces NM 88001-4701 | |
| (575) 556-9585 | |
| (575) 556-9456 |
| Full Name | Tafoya & Associates Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 715 E Idaho Ave Ste 2e, Las Cruces, New Mexico |
| Authorized Official Name and Position | Breena S. Tafoya (CEO) |
| Authorized Official Contact | 5755569585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tafoya & Associates Behavioral Health 715 E Idaho Ave Ste 2e Las Cruces NM 88001-4701 Ph: (575) 556-9585 | Tafoya & Associates Behavioral Health 715 E Idaho Ave Ste 2e Las Cruces NM 88001-4701 Ph: (575) 556-9585 |
| NPI Number | 1083874903 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 09/27/2013 |
| Medicare PECOS PAC ID | 3476600800 |
|---|---|
| Medicare Enrollment ID | O20090421000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083874903 | NPI | - | NPPES |
| 11532319 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Frances E Glasscock |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508926403 PECOS PAC ID: 8527037647 Enrollment ID: I20040927000416 |
| Provider Name | Madelon Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982712097 PECOS PAC ID: 0547219685 Enrollment ID: I20050117000065 |
| Provider Name | Jana Olivas Holguin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033329107 PECOS PAC ID: 4183782774 Enrollment ID: I20081027000360 |
| Provider Name | Jessica Cauthorne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619344322 PECOS PAC ID: 9739448036 Enrollment ID: I20180112000267 |
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