| Viibe Wellness Center | |
|
2906 Hillrise Dr Las Cruces NM 88011 | |
| (575) 652-3646 | |
| (575) 288-1625 |
| Full Name | Viibe Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | 2906 Hillrise Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Tally May (OWNER) |
| Authorized Official Contact | 5756523646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viibe Wellness Center 2906 Hillrise Dr Las Cruces NM 88011-4702 Ph: (575) 652-3646 | Viibe Wellness Center 2906 Hillrise Dr Las Cruces NM 88011 Ph: (575) 652-3646 |
| NPI Number | 1508221938 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 07/19/2016 |
| Medicare PECOS PAC ID | 6608143748 |
|---|---|
| Medicare Enrollment ID | O20170522001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508221938 | NPI | - | NPPES |
| 96774720 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | X-09387 (New Mexico) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | CNP-02575 (New Mexico) | Secondary |
| Provider Name | Tally Leigh May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881823706 PECOS PAC ID: 1759680531 Enrollment ID: I20170522001868 |
| Provider Name | Patricia E Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194740829 PECOS PAC ID: 7810312568 Enrollment ID: I20200729001211 |
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