Bevilacqua LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · El Prado, NM
NPI 1508609868 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1508609868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BEVILACQUA LLC
- Practice address
- 1518 Paseo del Pueblo Norte Unit 11
El Prado, NM 87529-8004 - Phone
- (724) 244-4815
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Leah Bevilacqua
- Title
- Owner
- Phone
- (724) 244-4815
Practitioners 1
National Provider Directory
Locations
1518 Paseo del Pueblo Norte
Unit 11
El Prado, NM 87529
Phone (724) 244-4815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1518 Paseo del Pueblo Norte Unit 11
El Prado, NM 87529-8004
Mailing address
PO Box 11
El Prado, NM 87529-0011
Other providers in El Prado, NM
- Kara J Andresen
- Julie Arneson
- Francesca Pearl Ascenzi
- Abraham Thomas Balsamo
- Terry Barsano
- Sarah Danielle Bird
- Sandra Cecelia Bodge
- Deborah D. Brown
- Greta Alene Brown
- Ed Cardenas
All providers in El Prado, NM · Mental Health Clinic/Center (Including Community Mental Health Center) 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 Oct 23, 2024. 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.