Provider Demographics
NPI:1962088377
Name:BEHAVIORAL HEALTH ASSESSORS PLLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH ASSESSORS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-853-8611
Mailing Address - Street 1:1600 N SYCAMORE AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-8895
Mailing Address - Country:US
Mailing Address - Phone:806-853-8611
Mailing Address - Fax:
Practice Address - Street 1:212 N 3RD ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4302
Practice Address - Country:US
Practice Address - Phone:806-853-8611
Practice Address - Fax:888-719-5863
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL HEALTH ASSESSORS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty