Manzano Mountain Counseling LLC
Organization Active NPI Mental Health Counselor · Estancia, NM
NPI 1619488608 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1619488608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C-09413 (NM)
- Legal business name
- MANZANO MOUNTAIN COUNSELING LLC
- Practice address
- 1011 Allen Avenue West
Estancia, NM 87016 - Phone
- (505) 818-7881
- NPI assigned
- Oct 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Rosalind Gumaer, LISW,LCSW
- Title
- Authorized Agent
- Phone
- (518) 755-3758
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | C-09413 | NM | Yes |
| Mental Health Counselor |
101YM0800X | I-08197 | NM |
Addresses
Primary practice location
1011 Allen Avenue West
Estancia, NM 87016
Mailing address
HC 66 Box 335
Mountainair, NM 87036-9605
Phone (505) 818-7881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111575365 | Other | NY | SOLUTIONS, A BRIEF THERAPY CENTER LLC |
| 1861738924 | Other | NM | VALENCIA COUNSELING |
Other providers in Estancia, NM
- Jennifer Keeran
- Karen Elizabeth Kirst-Millspaugh
- Inez Marie Lopez
- Mariah Lowery
- Karen Ann Lujan
- Kelly L. McDonald
- Kenneth J McKee
- Marlie Neish
- Gilbert Adrian Ortiz
- Outside the Box Counseling
All providers in Estancia, 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 Jun 16, 2018. 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.