| Vaillancourt Associates Llc | |
|
304 W Griggs Ave Ste C Las Cruces NM 88005-2603 | |
| (575) 405-7146 | |
| (575) 405-5446 |
| Full Name | Vaillancourt Associates Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 304 W Griggs Ave Ste C, Las Cruces, New Mexico |
| Authorized Official Name and Position | Kourtney T Vaillancourt (OWNER) |
| Authorized Official Contact | 5753126085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaillancourt Associates Llc 619 N Alameda Blvd Las Cruces NM 88005-2130 Ph: (575) 405-7146 | Vaillancourt Associates Llc 304 W Griggs Ave Ste C Las Cruces NM 88005-2603 Ph: (575) 405-7146 |
| NPI Number | 1063859015 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 5799129409 |
|---|---|
| Medicare Enrollment ID | O20240221003261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063859015 | NPI | - | NPPES |
| 80302386 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0109041 (New Mexico) | Primary |
Fyi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1320 S. Solano Drive, Las Cruces, NM 88001 Phone: 505-522-4004 Fax: 505-522-9017 | |
Healty Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-524-0767 Fax: 575-528-5539 | |
Clear Lake Studio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Anita Dr, Las Cruces, NM 88001 Phone: 915-345-5489 Fax: 575-541-3690 | |
Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
4 Directions Integrative Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 W Boutz Rd, Las Cruces, NM 88005 Phone: 575-523-5222 Fax: 575-523-8031 | |
Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 |