Southeastern Behavioral Associates, LLC
NPI #1447640164 in Portales, New Mexico
Provider Information
- NPI Number
- 1447640164
- Entity Type
- Organization
- Organization Name
- Southeastern Behavioral Associates, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
- Address
- 518 E 18TH ST # B
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-9268
- Phone
- (575) 714-3410
Authorized Official
- Name
- MRS. SHEILA ANN STEPHENSON, LCSW
- Title
- CO-OWNER
- Phone
- (575) 714-3410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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