| Amistad Family Services Inc | |
|
3100 Oak St, Las Cruces, NM 88005 | |
| (575) 523-2288 | |
| (575) 523-2299 |
| Full Name | Amistad Family Services Inc |
|---|---|
| Type | Facility |
| Speciality | Community/behavioral Health |
| Location | 3100 Oak St, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558654483 | NPI | - | NPPES |
| Provider Name | Evelyn Yvonne Anderson-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114209665 PECOS PAC ID: 8527349802 Enrollment ID: I20161228000602 |
| Provider Name | Janice Mae Alvillar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235355504 PECOS PAC ID: 6608157797 Enrollment ID: I20170104000522 |
| Provider Name | Henry Rowlison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346304771 PECOS PAC ID: 5799053062 Enrollment ID: I20210901002997 |
| Provider Name | Madison Rowlison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538732649 PECOS PAC ID: 1850789678 Enrollment ID: I20211028000684 |
| Provider Name | Sandi M Maynes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508000860 PECOS PAC ID: 4486042165 Enrollment ID: I20211029000335 |
| Provider Name | Randall E Madison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558378398 PECOS PAC ID: 6901902584 Enrollment ID: I20221202001642 |
| Provider Name | Sabrina Verdoza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720502818 PECOS PAC ID: 0749638336 Enrollment ID: I20231120002813 |
| Mailing Address | Practice Location Address |
|---|---|
| Amistad Family Services Inc 3100 Oak St, Las Cruces, NM 88005-3425 Ph: (575) 523-2288 | Amistad Family Services Inc 3100 Oak St, Las Cruces, NM 88005 Ph: (575) 523-2288 |