Tausha Renee Ludington I
Individual provider Active NPI Mental Health Counselor · Aztec, NM
NPI 1679866644 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1679866644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 99 County Road 2400
Aztec, NM 87410-9308 - Phone
- (970) 759-3217
- NPI assigned
- May 24, 2011
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
99 County Road 2400
Aztec, NM 87410-9308
Mailing address
99 County Road 2400
Aztec, NM 87410-9308
Phone (970) 759-3217
Other providers in Aztec, NM
- Rebecca Grace Larivee
- Lazy River Therapy Services, LLC
- Phyllis P. Lee
- Scott Lingo
- Sheena Little
- Ashlee Ludwig
- Felisha Marshall
- Martin Therapy Services, LLC
- Cynthia (Cindy) M Martin
- Laurel Martin
All providers in Aztec, 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 24, 2011. 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.