Healthcare Provider Details

I. General information

NPI: 1649110875
Provider Name (Legal Business Name): NEW NEURAL PATHWAYS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2878 CALLE DE SAN ALBINO 980
MESILLA NM
88046
US

IV. Provider business mailing address

2878 CALLE DE SAN ALBINO 980
MESILLA NM
88046
US

V. Phone/Fax

Practice location:
  • Phone: 915-307-0141
  • Fax:
Mailing address:
  • Phone: 915-307-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA BURAS
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 915-307-0241