SUNRISE NEURO BEHAVIORAL LLC
NPI 1285230391
Clinic/Center - Mental Health (Including Community Mental Health Center) in Las Cruces, NM

Active since December 05, 2020
1155 S TELSHOR BLVD STE 205, LAS CRUCES, NM 88011(915) 433-2568 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2023, Dec 5, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SUNRISE NEURO BEHAVIORAL LLC

This page provides the complete NPI Profile along with additional information for Sunrise Neuro Behavioral Llc, a provider established in Las Cruces, New Mexico operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1285230391 assigned on December 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Diana Fancher (Managing Partner)

NPI
1285230391 Verify this NPI
Provider Name
SUNRISE NEURO BEHAVIORAL LLC
Entity Type
Organization
Location Address
1155 S TELSHOR BLVD STE 205 LAS CRUCES, NM 88011
Location Phone
(915) 433-2568
Mailing Address
1155 S TELSHOR BLVD STE 205 LAS CRUCES, NM 88011
Mailing Phone
(915) 996-7223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2020
Last Update Date
01-26-2023
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Location Map

Secondary Locations

  • 189 Howard Place
    Las Cruces, NM 88011
    (915) 433-2568

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DIANA FANCHER

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(915) 996-7223

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1155 S TELSHOR BLVD STE 205
LAS CRUCES, NM 88011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285230391, enumerated as an "organization" on December 05, 2020.

The provider is located at 1155 S TELSHOR BLVD STE 205 LAS CRUCES, NM 88011 and the phone number is (915) 433-2568.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).