| Southeastern Behavioral Associates, Llc | |
|
518 E 18th St # B Portales NM 88130-9268 | |
| (575) 714-3410 | |
| Not Available |
| Full Name | Southeastern Behavioral Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 518 E 18th St # B, Portales, New Mexico |
| Authorized Official Name and Position | Sheila Ann Stephenson (CO-OWNER) |
| Authorized Official Contact | 5757143410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Behavioral Associates, Llc 518 E 18th St # B Portales NM 88130-9268 Ph: (575) 714-3410 | Southeastern Behavioral Associates, Llc 518 E 18th St # B Portales NM 88130-9268 Ph: (575) 714-3410 |
| NPI Number | 1447640164 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447640164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | I-07223 (New Mexico) | Primary |
| 101YP2500X | Counselor - Professional | 0129911 (New Mexico) | Secondary |
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