| Lifehouse Vista Taos | |
|
259 Blueberry Hill Rd El Prado NM 87529-7305 | |
| (575) 758-5858 | |
| Not Available |
| Full Name | Lifehouse Vista Taos |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 259 Blueberry Hill Rd, El Prado, New Mexico |
| Authorized Official Name and Position | Kimberly Susan Rogge-rogers (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 5753028304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifehouse Vista Taos Po Box 3141 Carlsbad NM 88221-3141 Ph: (575) 302-8304 | Lifehouse Vista Taos 259 Blueberry Hill Rd El Prado NM 87529-7305 Ph: (575) 758-5858 |
| NPI Number | 1144013103 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 06/15/2026 |
| Certification Date | 06/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144013103 | NPI | - | NPPES |
| N0046325 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
Donald L Flory Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Catalina Court, El Prado, NM 87529 Phone: 575-751-3848 | |
Martin Guided Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Toda Vista Rd, El Prado, NM 87529 Phone: 575-779-2045 | |
Mindy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Camino Cuervo, El Prado, NM 87529 Phone: 917-447-0692 | |
Yvette Montoya, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 White Water Rd, El Prado, NM 87529 Phone: 505-463-6342 | |
Janelle Cassidy, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 B Rio Lucero Rd, El Prado, NM 87529 Phone: 575-779-2031 | |
Practice Taos Limited, Concierge Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Rock Garden Gully Road, El Prado, NM 87529 Phone: 575-224-1132 |