Bevilacqua LLC
NPI #1508609868 in El Prado, New Mexico
Provider Information
- NPI Number
- 1508609868
- Entity Type
- Organization
- Organization Name
- Bevilacqua LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 14, 2024
- Last Updated
- Oct 23, 2024
Practice Location
- Address
- 1518 PASEO DEL PUEBLO NORTE UNIT 11
- City
- El Prado
- State
- New Mexico
- ZIP Code
- 87529-8004
- Phone
- (724) 244-4815
Authorized Official
- Name
- LEAH BEVILACQUA
- Title
- OWNER
- Phone
- (724) 244-4815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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