CHANGE OF HEART BEHAVIOR SERVICES LLC (NPI# 1689148033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689148033 |
| Entity Type | Organization |
| Organization Name | CHANGE OF HEART BEHAVIOR SERVICES LLC |
| Practice Address |
1776 Vista Montana Rd Las Cruces NM 88005-6264 |
| Practice Telephone | 5756353675 |
| Practice Fax Number | 5755419082 |
| Mailing Telephone | 5756353675 |
| Mailing Fax Number | 5755419082 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | REYNALDO ROMERO JR. (OWNER) |
| Authorized Official Telephone | 5756353675 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1776 VISTA MONTANA RD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1912561515 | Amistad Family Services Inc | Community/Behavioral Health | 390 Calle De Alegra Ste B, Las Cruces, NM 88005-3280 | 2019-04-29 |
| 1063997161 | Amanecer Community Counseling Center | Community/Behavioral Health | 128 Wyatt Dr, Las Cruces, NM 88005-2925 | 2018-09-25 |
| 1669955373 | Aldv, LLC | Community/Behavioral Health | 4129 Calle De Estrellas, Las Cruces, NM 88012-7649 | 2018-09-09 |
| 1386139780 | Rydan Solutions Inc | Community/Behavioral Health | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2018-06-27 |
| 1851898423 | Jacqueline M Meraz | Community/Behavioral Health | 4020 N Valley Dr, Las Cruces, NM 88007-6844 | 2018-04-10 |
| 1730688557 | Sears Counseling LLC | Community/Behavioral Health | 1100 S. Main Street Suite 22, Las Cruces, NM 88005-8800 | 2018-02-07 |
| 1801321062 | Andrea Mata | Community/Behavioral Health | 501 N Roadrunner Pkwy Apt 205, Las Cruces, NM 88011-8072 | 2017-04-25 |
| 1922549492 | Marisol Olivas Lmft LLC | Community/Behavioral Health | 5019 Kensington Way, Las Cruces, NM 88012 | 2017-03-16 |
| 1598114068 | Camino Nuevo Counseling | Community/Behavioral Health | 1570 W Picacho Ave Ste 2, Las Cruces, NM 88005-2375 | 2016-06-06 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on CHANGE OF HEART BEHAVIOR SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.