National Provider Identifier Database

AMANECER PSYCHOLOGICAL SERVICES PC
Rehabilitation, Substance Use Disorder


Contact Information

AMANECER PSYCHOLOGICAL SERVICES, P.C.
1219 BARRANCA DR
STE A AND B
EL PASO, TX79935-4601
Phone: 915-779-5600
Fax: 915-779-5605
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for AMANECER PSYCHOLOGICAL SERVICES, P.C.

NPI Number 1346402070
Legal business name
LBN
AMANECER PSYCHOLOGICAL SERVICES, P.C.
Authorized official RODOLFO BASURTO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/25/2008
Last updated 09/19/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 3550-3555

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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