| Southeast Mental Health Services | |
| 
					437 6th St Las Animas CO 81054-1714  | |
| (719) 384-5446 | |
| (719) 384-5672 | 
| Full Name | Southeast Mental Health Services | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 437 6th St, Las Animas, Colorado | 
| Authorized Official Name and Position | Lisa Chavez (CONTRACT AND CREDENTIALING MANAGER) | 
| Authorized Official Contact | 7193835448 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southeast Mental Health Services 711 Barnes Ave La Junta CO 81050-2138 Ph: (719) 384-5446  | Southeast Mental Health Services 437 6th St Las Animas CO 81054-1714 Ph: (719) 384-5446  | 
| NPI Number | 1497396287 | 
|---|---|
| Provider Enumeration Date | 10/02/2019 | 
| Last Update Date | 09/13/2022 | 
| Certification Date | 09/13/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497396287 | NPI | - | NPPES | 
| 13880063 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
Ark Valley Counseling & Supervision Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 6th St Ste 207c, Las Animas, CO 81054 Phone: 719-469-2670  | |
Region Six Alcohol & Drug Abuse Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11,000 Road Gg.5, Las Animas, CO 81054 Phone: 719-456-2600 Fax: 719-456-2606  |