DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHEAST MENTAL HEALTH SERVICES

MEDICARE: SOUTHEAST MENTAL HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235770561
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEAST MENTAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 711 BARNES AVE
Second Line :
City : LA JUNTA
State : CO
Zip : 81050-2138
Country : US
Telephone Number : 719-384-5446
Fax Number : 719-384-5672
Provider Business Practice Location Address
First Line : 3500 1ST ST S
Second Line :
City : LAMAR
State : CO
Zip : 81052-4327
Country : US
Telephone Number : 719-384-5446
Fax Number : 719-384-5672
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : CAROL A ARAGON
Credential :
Telephone Number : 719-383-5408
Provider Enumeration Date : 10/08/2019
Last Update Date : 10/08/2019

Similar Medicare Providers

1679440556 — VALLEY-WIDE HEALTH SYSTEMS, INC.
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-384-5446
Practice Fax: 719-691-6077
1386359404 — VALLEY-WIDE HEALTH SYSTEMS, INC.
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-384-5446
Practice Fax:
1003947524 — MRS. DONNA JEAN FORD-FERRELL M.A.
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-336-7501
Practice Fax: 719-336-7453
1063699825 — AMY LYNDA JAIME BA
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-336-7501
Practice Fax: 719-336-7453
1720357320 — CARLETA SCHWARTZ M.A.
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-336-7501
Practice Fax: 719-336-7453
1518555622 — SOUTHEAST MENTAL HEALTH SERVICES
Practice Location Address:
3500 1ST ST S
LAMAR, CO
81052-4327
Practice Phone: 719-384-5400
Practice Fax:

Directions to “SOUTHEAST MENTAL HEALTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.