Emory Paul Abeyta
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pueblo, CO
NPI 1457986010 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1457986010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- NLC.0107401 (CO)
- Practice address
- 417 W 13TH St
Pueblo, CO 81003-2703 - Phone
- (719) 309-3301
- NPI assigned
- Mar 4, 2020
- Sex
- Male
- 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 |
|---|---|---|---|
| NLC.0107401 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NLC.0107401 | CO | Yes |
Addresses
Primary practice location
417 W 13TH St
Pueblo, CO 81003-2703
Mailing address
417 W 13TH St
Pueblo, CO 81003-2703
Phone (719) 309-3301
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 719-544-2033 | Pathways Psychological Services, LLP |
Other providers in Pueblo, CO
- John Emad Abdel Sayed
- Ahmed Abdulrahman
- Aberdeen Ambulatory Surgical Center, LLC
- Hayley Justine Abernathy
- Barbara Abeyta
- Abode Healthcare Colorado, Inc
- Aghead Aboud
- About Kids Home Care North LLC
- About Kids Home Care, LLC
- About Kids Home Care, LLC
All providers in Pueblo, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.