Lorena Dominguez, LMHC
Individual provider Active NPI Mental Health Counselor · Anthony, NM
NPI 1255143186 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1255143186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB-2025-0013 (NM)
- Practice address
- PO Box 2671
Anthony, NM 88021-2671 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Jan 27, 2025
- 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 |
|---|---|---|---|
| CTB-2025-0013 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2025-0013 | NM | Yes |
Addresses
Primary practice location
PO Box 2671
Anthony, NM 88021-2671
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other providers in Anthony, NM
- Alexa De Alba
- Jose Luis De Anda
- Susan De la Paz
- Ileana Del Val
- Maria R Diaz
- Rita Dominguez
- Victoria Duarte
- Yair Andy Duarte
- Enhancing Life Care Providers, LLC
- Linda Enriquez
All providers in Anthony, 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 Jan 27, 2025. 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.