| Terrazas Mental Health, Inc. | |
|
525 E Lohman Ave Ste B Las Cruces NM 88001-3394 | |
| (575) 202-1719 | |
| Not Available |
| Full Name | Terrazas Mental Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 525 E Lohman Ave Ste B, Las Cruces, New Mexico |
| Authorized Official Name and Position | Joe Terrazas (CLINICAL COUNSELOR) |
| Authorized Official Contact | 5752021719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrazas Mental Health, Inc. 1300g El Paseo Rd Ste 115 Las Cruces NM 88001-6024 Ph: (575) 202-1719 | Terrazas Mental Health, Inc. 525 E Lohman Ave Ste B Las Cruces NM 88001-3394 Ph: (575) 202-1719 |
| NPI Number | 1932559481 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 5799133492 |
|---|---|
| Medicare Enrollment ID | O20231117002548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932559481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0138771 (New Mexico) | Primary |
| Provider Name | Joe Terrazas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407074438 PECOS PAC ID: 4284082165 Enrollment ID: I20231204001101 |
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