Organization
EPOCH BEHAVIORAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA L SMITH (CEO)
(575) 405-1685
Entity
Organization
Contact information
Practice address
250 S MAIN ST, LAS CRUCES, NM 88001-1278
(855) 469-3242
(855) 324-2329
Mailing address
250 S MAIN, LAS CRUCES, NM 88001-1208
(855) 469-3242
(855) 324-2329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35126876
—
NM
Enumeration date
03/28/2011
Last updated
02/04/2017
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