Sierra Vista Counseling, LLC
NPI #1902047160 in Grants, New Mexico
Provider Information
- NPI Number
- 1902047160
- Entity Type
- Organization
- Organization Name
- Sierra Vista Counseling, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 18, 2009
- Last Updated
- Jul 24, 2009
Practice Location
- Address
- 1109 MESA BLVD
- Address 2
- SUITE D
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-3038
- Phone
- (505) 287-3773
Authorized Official
- Name
- BEVERLY MICHAEL, LISW
- Title
- CO-OWNER/DIRECTOR
- Phone
- (505) 287-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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