Take Action LLC
Organization Active NPI Mental Health Counselor · Moriarty, NM
NPI 1558808634 · NPPES record last updated May 10, 2017
Key facts
- NPI
- 1558808634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0118471 (NM)
- Legal business name
- TAKE ACTION LLC
- Practice address
- 704 Central Avenue West Suite B
Moriarty, NM 87035 - Phone
- (505) 901-9143
- NPI assigned
- Jan 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Melissa A Nandino, MA LPCC
- Title
- Therapist
- Phone
- (505) 832-9135
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 0118471 | NM | Yes |
Addresses
Primary practice location
704 Central Avenue West Suite B
Moriarty, NM 87035
Mailing address
PO Box 85
704 US RT 66 Suite B
Moriarty, NM 87035-0085
Phone (505) 832-9135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51305887 | Medicaid | NM |
Other providers in Moriarty, NM
- Rebecca Lynn Scheib
- Vashti Jean Schweedler
- Megan Servilla
- Yamil Shirley Sotelo
- David Ray Stevens
- Teambuilders Behavioral Health, LLC
- Philip B Terry-Smith
- Ellen M Thompson V
- Torrance County Counseling, LLC
- United Remodeling Professionals
All providers in Moriarty, 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 May 10, 2017. 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.