MEDICARE: TRIAD BEHAVIORAL HEALTH CARE LLC

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
1	251S00000X	Community/Behavioral Health Agency	84-180	NM

General Provider Information

NPI Number	:	1346310653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAD BEHAVIORAL HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	1401 S DON ROSER DR
Second Line	:	SUITE F-1-2
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4567
Country	:	US
Telephone Number	:	575-521-4848
Fax Number	:	575-522-1798

Provider Business Practice Location Address
First Line	:	1401 S DON ROSER DR
Second Line	:	SUITE F-1-2
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4567
Country	:	US
Telephone Number	:	575-521-4848
Fax Number	:	575-522-1798

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	WILLIAM E LAFRENIERE
Credential	:
Telephone Number	:	575-532-1888

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	11/15/2017

Similar Medicare Providers

1518825355 — JP SIMS COUNSELING LLC
Practice Location Address:

1401 S DON ROSER DR STE E3
LAS CRUCES, NM
88011-4567

Practice Phone: 575-491-1918
Practice Fax:

1609079227 — ELIZABETH U. DELGADO-TORRES
Practice Location Address:

1401 S DON ROSER DR STE A1
LAS CRUCES, NM
88011-4567

Practice Phone: 575-520-2230
Practice Fax:

1750586442 — ESPERANZA GUIDANCE SERVICE INC
Practice Location Address:

1401 S DON ROSER DR STE A2
LAS CRUCES, NM
88011-4567

Practice Phone: 575-522-5144
Practice Fax: 575-522-5177

1508066457 — DR. JEROME FRAZIER D.O.
Practice Location Address:

1401 S DON ROSER DR , SUITE D
LAS CRUCES, NM
88011-4567

Practice Phone: 575-522-2800
Practice Fax: 575-647-8381

1578755765 — EILEEN FLORES-MADRID M.S. L.M.H.C
Practice Location Address:

1401 S DON ROSER DR , F-1
LAS CRUCES, NM
88011-4567

Practice Phone: 505-521-4848
Practice Fax: 505-522-1798

1730313073 — MS. KATHRYN MARIE BECKER L.I.S.W.
Practice Location Address:

1401 S DON ROSER DR STE D
LAS CRUCES, NM
88011-4567

Practice Phone: 575-522-5144
Practice Fax: 575-522-5177

Directions to “TRIAD BEHAVIORAL HEALTH CARE LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.