Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four Corners Behavioral Health

Organization Psychiatry Physician · NPI 1063008761

Four Corners Behavioral Health is a Psychiatry Physician in Gallup, New Mexico. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1500 S Second St Ste A
Gallup, NM 87301-5898
Phone: (507) 722-2923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1063008761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Laughter — Psychaitry · (505) 879-6575
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address3300 Box Canyon Ave, Gallup, NM 87301-6940

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