MEDICARE: MS. SALLY M TELLES CSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	0124561	NM

General Provider Information

NPI Number	:	1730416215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SALLY M TELLES CSW

Provider Business Mailing Address
First Line	:	901 W HICKORY ST
Second Line	:
City	:	DEMING
State	:	NM
Zip	:	88030-4046
Country	:	US
Telephone Number	:	575-546-2174
Fax Number	:	505-443-8332

Provider Business Practice Location Address
First Line	:	1001 N SOLANO DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-2366
Country	:	US
Telephone Number	:	575-201-3307
Fax Number	:

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

Provider Enumeration Date	:	11/04/2009
Last Update Date	:	06/11/2025

Similar Medicare Providers

1083703250 — HEALTHQUEST MEDICAL CLINIC LLC
Practice Location Address:

1001 N SOLANO DR , STE:A
LAS CRUCES, NM
88001-2366

Practice Phone: 575-522-4040
Practice Fax: 575-541-1069

1063698371 — CARSON CHIROPRACTIC CENER INC.
Practice Location Address:

1001 N SOLANO DR , STE C
LAS CRUCES, NM
88001-2366

Practice Phone: 575-523-8604
Practice Fax: 575-523-8604

1801051867 — MR. LEE KING LCSW, LADAC
Practice Location Address:

1001 N SOLANO DR STE A
LAS CRUCES, NM
88001-2366

Practice Phone: 575-518-4011
Practice Fax:

1053544619 — MR. RUBEN JAMES SANCHEZ
Practice Location Address:

1001 N SOLANO DR
LAS CRUCES, NM
88001-2366

Practice Phone: 575-518-4011
Practice Fax:

1871336271 — NAVA BEHAVIORAL HEALTH LLC
Practice Location Address:

1001 N SOLANO DR STE A
LAS CRUCES, NM
88001-2366

Practice Phone: 575-205-4029
Practice Fax:

1821892001 — JOHN D ROMO JR.
Practice Location Address:

1001 N SOLANO DR STE A
LAS CRUCES, NM
88001-2366

Practice Phone: 575-201-3307
Practice Fax:

Directions to “ MS. SALLY M TELLES CSW” 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.