Healthcare Provider Details

I. General information

NPI: 1609886787
Provider Name (Legal Business Name): BORDER AREA MENTAL HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S. HUDSON SUITE 12
SILVER CITY NM
88061
US

IV. Provider business mailing address

PO BOX 1349
SILVER CITY NM
88062-1349
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-4497
  • Fax: 575-534-1150
Mailing address:
  • Phone: 575-388-4497
  • Fax: 575-534-1150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number3041
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN HUNT
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW LPCC
Phone: 575-388-4497