Healthcare Provider Details

I. General information

NPI: 1467037432
Provider Name (Legal Business Name): BEHAVIORAL HEALTH ASSESSORS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 S DIVISION AVE
STERLING CO
80751-4103
US

IV. Provider business mailing address

1600 N SYCAMORE AVE APT 308
ROSWELL NM
88201-8895
US

V. Phone/Fax

Practice location:
  • Phone: 806-853-8611
  • Fax: 888-719-5863
Mailing address:
  • Phone: 806-853-8611
  • Fax: 888-719-5863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ABEL M CHAPA
Title or Position: MANAGER
Credential: LPC
Phone: 806-853-8611