Riverbear Counseling LLC
Organization Active NPI Professional Counselor · Chama, NM
NPI 1376814137 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1376814137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0091811 (NM)
- Legal business name
- RIVERBEAR COUNSELING LLC
- Practice address
- 16306 Hwy 64/84
Chama, NM 87520 - Phone
- (575) 209-1769
- Fax
- (575) 756-1560
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Stephanie Horner, LPCC
- Title
- Owner
- Phone
- (575) 756-1560
Practitioners 1
-
Stephanie Horner, LPCC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0091811 | NM | Yes |
Addresses
Primary practice location
16306 Hwy 64/84
Chama, NM 87520
Mailing address
P.O. Box 1241
Chama, NM 87520-1241
Phone (575) 756-1560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66931339 | Medicaid | NM |
Other providers in Chama, NM
- Suresh B Neelagaru
- North Central Community Based Services, Inc.
- Northwest Regional Education Cooperative #2
- Patience Grasshopper Therapeutics
- Melissa Dawn Rivera
- Patricia Serna
- Kathleen Lesh Smith
- Tara Terrazas
- Therapeutic Solutions of New Mexico
- Rolando M Tong
All providers in Chama, NM · Professional 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 25, 2012. 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.