Provider Demographics
NPI:1134350259
Name:MENTAL HEALTH ASSOCIATION OF NEW MEXICO
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF NEW MEXICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:505-425-7030
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-0513
Mailing Address - Country:US
Mailing Address - Phone:505-425-7030
Mailing Address - Fax:505-425-7031
Practice Address - Street 1:128 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-3427
Practice Address - Country:US
Practice Address - Phone:505-425-7030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable