Teambuilders Behavioral Health, LLC
Community/Behavioral Health in Santa Rosa, NM. Organization (NPI-2).
NPI number1760051130
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1760051130
- Entity type
- Organization (NPI-2)
- Legal business name
- Teambuilders Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
501 S 4th StSanta Rosa, NM 88435-2417
Phone 575-472-0745 · Fax 575-472-0746
Mailing address
Po Box 28164Santa Fe, NM 87592-8164
Phone 505-501-8974 · Fax 505-501-8974
Authorized official
Sun Vega
Chief Operations Officer
5052354002
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Santa Rosa, NM
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.