| San Luis Valley Community Mental Health Center, Inc. | |
| 
					402 4th Ave Monte Vista CO 81144-1120  | |
| (719) 589-3671 | |
| Not Available | 
| Full Name | San Luis Valley Community Mental Health Center, Inc. | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 402 4th Ave, Monte Vista, Colorado | 
| Authorized Official Name and Position | Kyle Turnwall (CHIEF FINANCIAL OFFICER) | 
| Authorized Official Contact | 7195893671 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| San Luis Valley Community Mental Health Center, Inc. 8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671  | San Luis Valley Community Mental Health Center, Inc. 402 4th Ave Monte Vista CO 81144-1120 Ph: (719) 589-3671  | 
| NPI Number | 1043047889 | 
|---|---|
| Provider Enumeration Date | 09/16/2024 | 
| Last Update Date | 09/16/2024 | 
| Certification Date | 09/16/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043047889 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
William T Beverly Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 1st Ave, Monte Vista, CO 81144 Phone: 719-671-7793  | |
Colorado Autism Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Rupert Street, Monte Vista, CO 81144 Phone: 719-584-8055 Fax: 303-957-2251  |