Provider Demographics
NPI:1255210167
Name:TURQUOISE FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:TURQUOISE FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAVITAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-575-0704
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREST
Mailing Address - State:NM
Mailing Address - Zip Code:87008-0845
Mailing Address - Country:US
Mailing Address - Phone:575-621-0144
Mailing Address - Fax:
Practice Address - Street 1:15 CANYON LN
Practice Address - Street 2:
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9458
Practice Address - Country:US
Practice Address - Phone:575-621-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251S00000XAgenciesCommunity/Behavioral Health