Rowena R Runyan, LMHC
Individual provider Active NPI Mental Health Counselor · Silver City, NM
NPI 1699100438 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1699100438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 156621 (NM)
- Practice address
- 109 South Bullard
Silver City, NM 88061 - Phone
- (575) 519-2629
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 156621 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 156621 | NM | Yes |
Addresses
Primary practice location
109 South Bullard
Silver City, NM 88061
Mailing address
2313 Paul Place
Silver City, NM 88061
Phone (575) 519-2209
Other providers in Silver City, NM
- Aaron Stuart Rudd
- Jedediah Cheston Rudd
- Tanya Jacqueline Ruiz
- Vanessa Diane Ruiz
- Runfreept
- Kaitlyn Rutherford
- Liana Gill Ryan
- Vicky Ryder
- S and B Enterprises Inc
- Jennifer Marthe Sabatier
All providers in Silver City, 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 Sep 12, 2013. 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.