OrganizationActive
Primary Wellness Team Corporation
NPI 1417489378 · Prescribing (Medical) Psychologist · Santa Teresa, NM
Provider details
- NPI number
- 1417489378
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christian Lira, Manager(915) 202-3232
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5805 Mcnutt Rd
Ste D
Santa Teresa, NM 88008-8001
Phone: (575) 265-1717
Approximate (ZIP-level) locationGet directions
Mailing address
205 W Boutz Rd
Las Cruces, NM 88005-3262
Other names (DBA / former)
- Doing business as
- Reef Medical Clinic
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2017-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.