Healthcare Provider Details

I. General information

NPI: 1740045095
Provider Name (Legal Business Name): CHRISTIAN BELIEVERS EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 STRATFORD LN
CLOVIS NM
88101-4917
US

IV. Provider business mailing address

PO BOX 5144
CLOVIS NM
88102-5144
US

V. Phone/Fax

Practice location:
  • Phone: 510-502-6676
  • Fax: 575-763-2291
Mailing address:
  • Phone: 575-763-1715
  • Fax: 575-763-2291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA S YANCY
Title or Position: CEO
Credential: DR
Phone: 510-502-6676