Brenda Lynn Alvarado, CLINICAL MENTAL HEAL

Individual provider Active NPI Professional Counselor · Clovis, NM

NPI 1376748517 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1376748517
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0132781 (NM)
Practice address
208 East Grand Ave. Riovida Counseling
Clovis, NM 88101
Phone
(505) 762-9000
Fax
(505) 762-9009
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0132781NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riovida Counseling Professional Current
since Oct 13, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0132781 NM Yes

Addresses

Primary practice location

208 East Grand Ave. Riovida Counseling
Clovis, NM 88101

Mailing address

311 North Ave. Q
Portales, NM 88130
Phone (575) 607-7822

Other providers in Clovis, NM

All providers in Clovis, NM · Professional Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.