| Families & Youth, Inc | |
|
1320 S. Solano Drive Las Cruces NM 88001-3758 | |
| (505) 522-4004 | |
| (505) 522-9017 |
| Full Name | Families & Youth, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1320 S. Solano Drive, Las Cruces, New Mexico |
| Authorized Official Name and Position | Brian Kavanaugh (CEO) |
| Authorized Official Contact | 5756440485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Families & Youth, Inc Po Box 1868 Las Cruces NM 88004-1868 Ph: (505) 522-4004 | Families & Youth, Inc 1320 S. Solano Drive Las Cruces NM 88001-3758 Ph: (505) 522-4004 |
| NPI Number | 1003031436 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 9739546284 |
|---|---|
| Medicare Enrollment ID | O20230529000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003031436 | NPI | - | NPPES |
| B9814 | Medicaid | NM | |
| M1497 | Medicaid | NM | |
| M0161 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1077A (New Mexico) | Secondary |
| Provider Name | Rita M Pacheco Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679631857 PECOS PAC ID: 1658341961 Enrollment ID: I20110606000421 |
| Provider Name | Serina Monique Apodaca-peckham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194189829 PECOS PAC ID: 0547620031 Enrollment ID: I20230714003672 |
| Provider Name | Matthew David Cashion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316165467 PECOS PAC ID: 9537520333 Enrollment ID: I20230726001700 |
| Provider Name | Brianna Dever |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417438672 PECOS PAC ID: 9032569595 Enrollment ID: I20231223000065 |
| Provider Name | Justina Sanchez |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1164956595 PECOS PAC ID: 8426400375 Enrollment ID: I20240117000644 |
| Provider Name | Alyssa Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467794347 PECOS PAC ID: 0042753543 Enrollment ID: I20240625000112 |
| Provider Name | Cynthia Evelyn Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346706298 PECOS PAC ID: 0446793996 Enrollment ID: I20240625001801 |
| Provider Name | Michelle Jennifer Schilling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902021470 PECOS PAC ID: 5698218147 Enrollment ID: I20240625001942 |
| Provider Name | Michaela Michele Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902585219 PECOS PAC ID: 0446782023 Enrollment ID: I20241021003415 |
| Provider Name | Allison Stoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962214270 PECOS PAC ID: 8022535129 Enrollment ID: I20250512001220 |
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