Organization
COMPLETE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISAANN TORREZ (OWNER, CREDENTIALING SPECIALIST)
(575) 770-8136
Entity
Organization
Contact information
Practice address
105 BERTHA RD STE A, TAOS, NM 87571-7148
(575) 758-4297
(575) 751-7237
Mailing address
PO BOX 2534, RANCHOS DE TAOS, NM 87557-2534
(575) 758-4297
(575) 751-7237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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