MEDICARE: NATIVE BEHAVIORAL HEALTH SERVICES, LLC

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	1041C0700X	Clinical Social Worker	C-08163	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1770078321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIVE BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	4001 OFFICE COURT DR STE 303
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-4930
Country	:	US
Telephone Number	:	505-395-9456
Fax Number	:	505-930-5114

Provider Business Practice Location Address
First Line	:	4001 OFFICE COURT DR STE 303
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-4930
Country	:	US
Telephone Number	:	505-395-9456
Fax Number	:	505-930-5114

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	HAL M AGLER
Credential	:	LCSW
Telephone Number	:	505-470-5272

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	06/26/2018

Similar Medicare Providers

1457449175 — DR. MICHAEL ALLAN KAPLAN PH.D.
Practice Location Address:

4001 OFFICE CT STE 305
SANTA FE, NM
87507-4930

Practice Phone: 505-466-7710
Practice Fax: 505-466-7714

1205911617 — MRS. DEBORAH HAYDEN SLP
Practice Location Address:

4001 OFFICE CT STE 305
SANTA FE, NM
87507-4930

Practice Phone: 505-466-7710
Practice Fax: 505-466-7714

1760677652 — BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Practice Location Address:

13063 ROSECRANS AVE , BLDG. 1
SANTA FE SPRINGS, CA
90670-4930

Practice Phone: 562-432-4444
Practice Fax:

1386009645 — FRESENIUS MEDICAL CARE NORWALK, LLC
Practice Location Address:

13063 ROSECRANS AVE BLDG 1
SANTA FE SPRINGS, CA
90670-4930

Practice Phone: 562-404-7400
Practice Fax: 562-404-7411

1114528742 — TAO OF MEDICINE INC.
Practice Location Address:

2901 WILSHIRE BLVD STE 335
SANTA MONICA, CA
90403-4930

Practice Phone: 310-401-3347
Practice Fax:

1134011604 — SALVADOR BLANCO
Practice Location Address:

6569 WINDING RIDGE LOOP
SANTA FE, NM
87507-3191

Practice Phone: 505-501-5953
Practice Fax:

Directions to “NATIVE BEHAVIORAL HEALTH SERVICES, LLC ” 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.