# AMANECER PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639373566
- **Authorized official:** DR. RODOLFO BASURTO JR. PH.D (PRESIDENT)
- **Authorized official phone:** (915) 779-5600

## Contact information

- **Practice address:** 6044 GATEWAY BLVD E STE 405, EL PASO, TX 79905-2037
- **Practice address phone:** (915) 779-5600
- **Practice address fax:** (915) 779-5605
- **Mailing address:** 8 WILLIAMSBURG DR, EL PASO, TX 79912-4147
- **Mailing address phone:** (915) 779-5600
- **Mailing address fax:** (915) 779-5605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 40581 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020