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BRYANS COUNSELING SERVICE NPI 1649579780


NPI Information

NPI: 1649579780
Provider Name: BRYANS COUNSELING SERVICE

Doing Business As: JOHN BRYAN STUPPY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2891 CLARK CT
SANTA FE, NM
ZIP 87507
Phone: (505) 930-4550
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BRYANS COUNSELING SERVICE is a community behavioral health in Santa Fe, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BRYANS COUNSELING SERVICE NPI is 1649579780. The provider is registered as an organization entity type.
The provider Is Doing Business As John Bryan Stuppy.

The provider's business location address is:

2891 CLARK CT
SANTA FE, NM
ZIP 87507-179
Phone: (505) 930-4550

The provider's authorized official is John Bryan Stuppy .
The authorized official title is Clinical Social Worke and has the following contact phone number (505) 930-4550.

The enumeration date for this NPI number is 3/15/2011 and was last updated on 3/15/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthI-06160NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153052552MEDICAIDNEW MEXICO

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: 4/28/2024

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