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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