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General NPI Number Information
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NPI Number | 1164211918
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Entity Type | Organization
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Legal Business Name | CERVANTES PSYCH SERVICES LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2801 MISSOURI AVE STE 36
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City | LAS CRUCES
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State | NM
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Zip | 88011-9151
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Country | US
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Telephone | 626-252-9246
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 MISSOURI AVE STE 36
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City | LAS CRUCES
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State | NM
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Zip | 88011-9151
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELING PSYCHOLOGIST
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Name | DR. ALEJANDRO CERVANTES
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Credential | PHD
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Telephone | 626-252-9246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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