Provider Demographics
NPI:1902170160
Name:SAVELL, SELENA R
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:R
Last Name:SAVELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SELENA
Other - Middle Name:R
Other - Last Name:FLOREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 W BROADWAY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-6075
Mailing Address - Country:US
Mailing Address - Phone:575-433-2211
Mailing Address - Fax:575-433-4211
Practice Address - Street 1:215 W BROADWAY ST STE 1
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-6075
Practice Address - Country:US
Practice Address - Phone:575-433-2211
Practice Address - Fax:575-433-4211
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NMCCMH0224461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM83725873Medicaid