| Teresa's Trauma & Recovery Center's | |
|
1205 N West St Silver City NM 88061-4635 | |
| (575) 654-2919 | |
| Not Available |
| Full Name | Teresa's Trauma & Recovery Center's |
|---|---|
| Speciality | Counselor |
| Location | 1205 N West St, Silver City, New Mexico |
| Authorized Official Name and Position | Michael Richard Dahlin (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 5756358262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa's Trauma & Recovery Center's Po Box 405 Cliff NM 88028-0405 Ph: () - | Teresa's Trauma & Recovery Center's 1205 N West St Silver City NM 88061-4635 Ph: (575) 654-2919 |
| NPI Number | 1629560198 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 6709292121 |
|---|---|
| Medicare Enrollment ID | O20210310001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629560198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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