Mission Health Alliance LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MISSION HEALTH ALLIANCE LLC

Practice address

2407 W Picacho Ave
A109
Las Cruces, NM 88007-4124

Phone

(575) 649-5898

Fax

(575) 652-4555

NPI assigned

May 14, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Logan Foster, PA

Title

Authorized Official

Phone

(575) 649-5898

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1790196665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W PICACHO AVE",
            "address_2": "A109",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074124",
            "telephone_number": "575-649-5898",
            "fax_number": "575-652-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W PICACHO AVE",
            "address_2": "A109",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074124",
            "telephone_number": "575-649-5898",
            "fax_number": "575-652-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "575-649-5898",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilmira Mirzayeva
• Kelly Ranae Mische, M.A. C.F.-SLP
• Srikanta Mishra, PHD
• Guadalupe Misquez
• Kaley Victoria Misquez
• Dan Mitchell, LMT
• Hannah Marie Mitchell
• James Mitchell III
• Kristine Marie Mitchell, LMSW
• Leah Mitchell

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.