MEDICARE: ASPEN PLEASANT

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
1	101Y00000X	Counselor
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1649635350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASPEN PLEASANT

Provider Business Mailing Address
First Line	:	1123 NANTUCKET DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-1903
Country	:	US
Telephone Number	:	254-759-9524
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 S WALNUT ST STE A1
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-2613
Country	:	US
Telephone Number	:	254-299-2787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	10/16/2025

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Directions to “ ASPEN PLEASANT ” Practice Location

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