Heidi R. Borden, MA, LPCC

Individual provider Active NPI Mental Health Counselor · Clovis, NM

NPI 1306986971 · NPPES record last updated Sep 9, 2015

Key facts

NPI
1306986971
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
0123101 (NM)
Practice address
1316 Sheldon St
Clovis, NM 88101-6062
Phone
(575) 799-1684
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0123101NMMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0123101 NM
Mental Health Counselor 101YM0800X 0123101 NM Yes

Addresses

Primary practice location

1316 Sheldon St
Clovis, NM 88101-6062

Mailing address

1316 Sheldon St
Clovis, NM 88101-6062
Phone (575) 700-1684

Other providers in Clovis, NM

All providers in Clovis, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.