NPI Code Details Logo

NPI 1073968749

NPI 1073968749 : EL PASO COMMUNITY MHMR : EL PASO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073968749
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EL PASO COMMUNITY MHMR 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/29/2016
-----------------------------------------------------
    Last Update Date     |    08/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1551 MONTANA AVE. 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79902-5668
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-887-3410
-----------------------------------------------------
    Fax                  |    915-351-3643
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1600 MONTANA AVE 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79902-5622
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-877-3410
-----------------------------------------------------
    Fax                  |    915-351-4708
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF OF REVENUE CYCLE
-----------------------------------------------------
    Name                 |     MICHELLE SUZANNE APONTE-PACHECO 
-----------------------------------------------------
    Credential           |    MBA, MSW
-----------------------------------------------------
    Telephone            |    915-887-3410
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    324500000X
-----------------------------------------------------
    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    3245S0500X
-----------------------------------------------------
    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QR0405X
-----------------------------------------------------
    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.