Amanecer Community Counseling Center

Organization Active NPI Community/Behavioral Health Agency · Las Cruces, NM

NPI 1063997161 · NPPES record last updated Sep 25, 2018

Key facts

NPI
1063997161
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
AMANECER COMMUNITY COUNSELING CENTER
Practice address
128 Wyatt Dr
Las Cruces, NM 88005-2925
Phone
(575) 882-5100
Fax
(575) 882-1151
NPI assigned
Sep 25, 2018
Organization subpart
No

Authorized official

Name
Claudia Hernandez
Title
Chief Operating Officer
Phone
(575) 882-5100

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Amanecer Community Counseling Center (3 organizations share this tax ID)

Locations

128 Wyatt Dr
Las Cruces, NM 88005
Phone (575) 882-5100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

128 Wyatt Dr
Las Cruces, NM 88005-2925

Mailing address

PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100

Other identifiers

IdentifierTypeStateIssuer
35650338MedicaidNM

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Community/Behavioral Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.