Edie Barela, LMHC
Individual provider Active NPI Mental Health Counselor · Clovis, NM
NPI 1255080107 · NPPES record last updated Mar 19, 2022
Key facts
- NPI
- 1255080107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CMH0219911 (NM)
- Practice address
- 1912 Debra St
Clovis, NM 88101-5394 - Phone
- (157) 576-0532
- NPI assigned
- Mar 19, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| CMH0219911 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH0219911 | NM | Yes |
Addresses
Primary practice location
1912 Debra St
Clovis, NM 88101-5394
Mailing address
1912 Debra St
Clovis, NM 88101-5394
Phone (157) 576-0532
Other providers in Clovis, NM
- Sylvia Baltazar
- Eric M. Banagay
- Monica Banuelos
- Kirsten Barber
- Molly Kiernan Barbieri
- Cambree Bargas
- Michelle Bargas
- Keith David Barker
- Barnett Chiropractic Wellness Center
- Caleb Barnett
All providers in Clovis, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2022. 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.