SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1407472749

NPI Information

  • NPI: 1407472749
  • Provider Name: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
  • CLIA Number: 06D0518574
  • Address: 322 WALNUT STREET
    LA JARA, CO
    ZIP 81140
  • Phone: (719) 589-3671

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NPI Details

SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in La Jara, CO. SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1407472749. The provider is registered as an organization entity type.
The provider Is Doing Business As San Luis Valley Behavioral Health Group.

The provider's business location address is:

322 WALNUT STREET
LA JARA, CO
ZIP 81140
Phone: (719) 589-3671

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 CLIA number assigned to this NPI record is 06D0518574 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2020 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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261Q00000XClinic/CenterNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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