Organization
BEHAVIOR AND FAMILY THERAPY SERVICES
Active
Organization
BEHAVIOR AND FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. MAYFIELD PH. D. (CEO)
(575) 650-8415
Entity
Organization
Contact information
Practice address
1990 E LOHMAN AVE STE 225, LAS CRUCES, NM 88001-3172
(575) 650-8415
(575) 521-9215
Mailing address
2672 CABALLO CT, LAS CRUCES, NM 88011-9000
(575) 650-8415
(575) 521-9215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0101061
NM
103TC1900X
Counseling Psychologist
NM0943
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0010C
NM
1041C0700X
Clinical Social Worker
I-06500
NM
1041C0700X
Clinical Social Worker
I-3644
NM
1041C0700X
Clinical Social Worker
M-05824
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10075381
—
NM
Enumeration date
02/25/2008
Last updated
06/18/2013
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