Terre G Coberly
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bloomfield, NM
NPI 1649849217 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1649849217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAD0208011
- Practice address
- 101 E Broadway Ave
Bloomfield, NM 87413-6235 - Phone
- (505) 330-8220
- Fax
- (505) 234-7867
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Peak Counseling, LLC | Current |
Accepting new patients | |
| Sadie L Smith-McDaniel | Current |
Accepting new patients |
Locations
101 E Broadway Ave
Bloomfield, NM 87413
Phone (505) 330-8220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NM | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAD0208011 | Yes |
Addresses
Primary practice location
101 E Broadway Ave
Bloomfield, NM 87413-6235
Mailing address
101 E Broadway Ave
Bloomfield, NM 87413-6235
Phone (505) 330-8220
Other providers in Bloomfield, NM
- Melanie Canode
- Deadra D. Carrillo
- Nancy Carter
- Isabella Chavez
- Michelle Childers-Beck
- Kristi Coddington
- Victoria D. Coe
- Cynthia Colson
- Sharon Flora Cooke
- Brandon Ira Crockett
All providers in Bloomfield, NM · Addiction (Substance Use Disorder) 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 Aug 9, 2024. 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.