NOVA III BEHAVIORAL HEALTH SERVICES
NPI 1912667700
Counselor - Addiction (Substance Use Disorder) in Gallup, NM

Active since December 21, 2021
2418 E HIGHWAY 66, GALLUP, NM 87301(505) 297-3967 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2021, Dec 21, 2021 (2 updates tracked since 2021).

About Nova Iii Behavioral Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA III BEHAVIORAL HEALTH SERVICES (NPI 1912667700) is a healthcare organization registered as an addiction (substance use disorder) in Gallup, New Mexico and active in the NPI registry since December 2021. The organization lists David Conejo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912667700
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameNOVA III BEHAVIORAL HEALTH SERVICES
Location Address2418 E HIGHWAY 66Gallup, NM 87301-4767
Mailing Address2418 E Highway 66Gallup, NM 87301-4767 · (505) 297-3967
Organization SubpartNo
Authorized OfficialDavid ConejoCeo · (903) 820-1142
Enumeration DateDecember 21, 2021
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
NPI 1912667700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2418 E HIGHWAY 66, Gallup, NM 87301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nova III Behavioral Health Services's NPI number?

The NPI number for Nova III Behavioral Health Services is 1912667700. It was assigned to this organization in the NPPES registry on December 21, 2021.

Where is Nova III Behavioral Health Services located?

Nova III Behavioral Health Services is located at 2418 E Highway 66, Gallup, NM 87301. The listed phone number is (505) 297-3967.

What is Nova III Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nova III Behavioral Health Services was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.