| Monica Banuelos, | |
|
1100 W 21st St, Clovis, NM 88101-4151 | |
| (575) 769-2345 | |
| (575) 769-8974 |
| Full Name | Monica Banuelos |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1100 W 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073942934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | T-0161201 (New Mexico) | Primary |
| Entity Name | Mental Health Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811049653 PECOS PAC ID: 1759351414 Enrollment ID: O20040729000639 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Banuelos, 1100 W 21st St, Clovis, NM 88101-4151 Ph: (575) 769-2345 | Monica Banuelos, 1100 W 21st St, Clovis, NM 88101-4151 Ph: (575) 769-2345 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Kathy J Perales, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |