Healthcare Provider Details

I. General information

NPI: 1932087491
Provider Name (Legal Business Name): BEST LIFE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 W DELGADO AVE
BELEN NM
87002-2805
US

IV. Provider business mailing address

1611 W DELGADO AVE
BELEN NM
87002-2805
US

V. Phone/Fax

Practice location:
  • Phone: 505-720-0445
  • Fax:
Mailing address:
  • Phone: 505-720-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RAE CEE VALLEJOS
Title or Position: CLINICAL COUNSELOR
Credential: LPCC
Phone: 505-720-0445