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NPI Code Detail

MEDICARE: MENTAL HEALTH ASSOCIATION OF NEW MEXICO

MEDICARE: MENTAL HEALTH ASSOCIATION OF NEW MEXICO
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1134350259
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH ASSOCIATION OF NEW MEXICO
Provider Business Mailing Address
First Line : PO BOX 513
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-0513
Country : US
Telephone Number : 505-425-7030
Fax Number : 505-425-7031
Provider Business Practice Location Address
First Line : 128 BRIDGE ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-3427
Country : US
Telephone Number : 505-425-7030
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MS. SHEILA H SILVERMAN
Credential : MSW
Telephone Number : 505-425-7030
Provider Enumeration Date : 08/06/2009
Last Update Date : 08/06/2009

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Directions to “MENTAL HEALTH ASSOCIATION OF NEW MEXICO ” Practice Location

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