Aimee Pawlcyn, LPCC
Individual provider Active NPI Counselor · Magdalena, NM
NPI 1114429164 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1114429164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0159361 (NM)
- Practice address
- 910 1St Street / Hwy 60
Magdalena, NM 87825 - Phone
- (612) 801-8499
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0159361 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magdalena Cabin Counseling | Counselor | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0159361 | NM | Yes |
Addresses
Primary practice location
910 1St Street / Hwy 60
Magdalena, NM 87825
Mailing address
23 Frio Rd
Magdalena, NM 87825-6419
Phone (612) 801-8499
Other providers in Magdalena, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.