Organization
BIENESTAR FAMILY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM RIVAS LPCC (PRESIDENT)
(915) 203-5103
Entity
Organization
Contact information
Practice address
4950 MCNUTT RD, SANTA TERESA, NM 88008-9621
(915) 203-5103
(575) 541-3669
Mailing address
PO BOX 1137, SANTA TERESA, NM 88008-1137
(915) 203-5103
(575) 541-3669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0128131
NM
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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