Amanecer Community Counseling Center, LLC

Organization Active NPI Community/Behavioral Health Agency · Anthony, NM

NPI 1669928982 · NPPES record last updated Aug 28, 2016

Key facts

NPI
1669928982
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
AMANECER COMMUNITY COUNSELING CENTER, LLC
Practice address
785 Anthony Drive
Anthony, NM 88021-2671
Phone
(575) 882-5100
Fax
(575) 882-1151
NPI assigned
Aug 28, 2016
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 49

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

View all 49

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2143665Amanecer Community Counseling Center
785 Anthony Drive, Anthony, NM 88021
Certificate of waiverFeb 1, 2028

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

785 Anthony Drive
Anthony, NM 88021-2671

Mailing address

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

Other providers in Anthony, NM

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

Sources for this page

Verify at the official NPI Registry.