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NPI Code Detail

MEDICARE: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER

MEDICARE: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15K557CO
2261Q00000XClinic/Center
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063406999
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 8745 COUNTY ROAD 9 SOUTH
Second Line :
City : ALAMOSA
State : CO
Zip : 81101
Country : US
Telephone Number : 719-589-3671
Fax Number : 719-589-9136
Provider Business Practice Location Address
First Line : 8745 COUNTY ROAD 9 S
Second Line :
City : ALAMOSA
State : CO
Zip : 81101-9610
Country : US
Telephone Number : 719-589-3671
Fax Number : 719-589-9136
Authorized Official
Title or Position : CEO
Name : VICTORIA ROMERO
Credential :
Telephone Number : 719-589-3671
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/16/2023

Similar Medicare Providers

1720149289 — JENNIFER SILVA LCSW
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 719-589-3671
Practice Fax: 719-587-6824
1275492829 — JENNIFER BROOKS
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 719-587-5619
Practice Fax: 719-587-5619
1891886602 — MS. CAROL ANN COTTER LISW
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 719-589-3671
Practice Fax:
1912054347 — THERESE MARGARET PELOQUIN LPC
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 719-589-3671
Practice Fax:
1538213210 — LAURIE BILLMAN LPC
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 919-200-5876
Practice Fax:
1477687978 — MR. GREGORY CAESAR MD
Practice Location Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
81101-9610
Practice Phone: 719-589-3671
Practice Fax: 719-589-9136

Directions to “SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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