Southern New Mexico Human Development, Inc.
Organization Active NPI Community/Behavioral Health Agency · Anthony, NM
NPI 1376662874 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376662874
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3037 (NM)
- Legal business name
- SOUTHERN NEW MEXICO HUMAN DEVELOPMENT, INC.
- Practice address
- 820 Hwy 478
Anthony, NM 88021 - Phone
- (505) 882-5101
- Fax
- (505) 882-6127
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Vincent Ortega
- Title
- Ceo
- Phone
- (505) 882-5101
Practitioners 57
-
Julio Aleman, BA
-
Jessica Barnhill, M.ED
-
Ivan Fernando Barrio, LMHC
-
Ruben Carmona, MA
-
Melissa Ruth Crew, LMSW
-
Susan De la Paz, BA
-
Yair Andy Duarte, BA
-
Michael Keith Ford, LMSW
-
Barbara A. Gilmore, APRN, NP
-
Daniel Gonzalez, BS
-
Ambar Gutierrez, BSW
-
Marisela Guzman, BSW
-
Crystal Heredia-Sanchez, LCSW
-
Gabriel A. Hernandez, M.D.
-
Rita Hernandez, AAS
-
Elizabeth Herren, AAS
-
Edna Herrera, BS
-
Gabriela Herrera, BS
-
Maria Laquerre, MA
-
Christina Lessau, BSW
National Provider Directory
Locations
820 Highway 478
Anthony, NM 88021
Phone (575) 882-5101
3465 McNutt Rd
Sunland Park, NM 88063
Phone (575) 589-1147
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3037 | NM | Yes |
Addresses
Primary practice location
820 Hwy 478
Anthony, NM 88021
Mailing address
PO Box 2285
Las Cruces, NM 88004-2285
Phone (505) 882-5101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47639 | Medicaid | NM |
Other providers in Anthony, NM
- Celine Amanda Silva
- Minerva Singh
- Felipe Soria
- Donna Marie Soto
- Vitalia Soto
- Cynthia Lizeth Stallworth
- Richard Wayne Stuckwisch
- Jane Swanson
- Si Hui Valerie Tan
- Alexis Taylor-Jackson
All providers in Anthony, NM · Community/Behavioral Health Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.