Organization
CONNECTIONS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GATES (OWNER)
(575) 571-1016
Entity
Organization
Contact information
Practice address
225 E IDAHO AVE STE 25, LAS CRUCES, NM 88005
(575) 571-1016
Mailing address
PO BOX 1680, FAIRACRES, NM 88033-1680
(575) 571-1016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/02/2018
Last updated
06/27/2018
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