SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1063406999

NPI Information

NPI: 1063406999
Provider Name: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER

Doing Business As: SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3671
Get Directions

SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Alamosa, CO. SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1063406999. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Luis Valley Behavioral Health Group.

The provider's business location address is:

8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101-610
Phone: (719) 589-3671
Fax: (719) 589-9136

The provider's authorized official is Victoria Romero .
The authorized official title is Ceo and has the following contact phone number (719) 589-3671.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 1/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	15K557	COLORADO	No
2	261Q00000X	Clinic/Center				No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063406999	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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