DJ2 Junctions Inc
Organization Active NPI Mental Health Counselor · Clovis, NM
NPI 1730486168 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1730486168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0144951 (NM)
- Legal business name
- DJ2 JUNCTIONS INC
- Practice address
- 1200 N Thornton St Ste J
Clovis, NM 88101-5508 - Phone
- (575) 935-8522
- NPI assigned
- Feb 21, 2011
- Organization subpart
- No
Authorized official
- Name
- Della Dawn Garlitz-Bedingfield
- Title
- Ceo/President
- Phone
- (575) 935-8522
Corporate family (same tax ID) 1
Practitioners 5
-
Lukas L Ficklin, LPCC
-
Laura M Leeder-Martinez, LSAA
-
Elizabeth Merrill, LMHC
National Provider Directory
- Tax ID family
- DJ2 Junctions Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 0144951 | NM | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 0148831 | NM | |
| Mental Health Counselor |
101YM0800X | 0170731 | NM | |
| Mental Health Counselor |
101YM0800X | 0144951 | NM | Yes |
| Professional Counselor |
101YP2500X | 0144951 | NM |
Addresses
Primary practice location
1200 N Thornton St Ste J
Clovis, NM 88101-5508
Mailing address
1200 N Thornton St Ste J
Clovis, NM 88101-5508
Phone (575) 935-8522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51206544 | Medicaid | NM | |
| 357783771 | Medicaid | NM |
Other providers in Clovis, NM
- Diane C Dewitt
- Bianca Lyzette Diaz
- Silvia Diaz
- Jennifer Nichole Dickerson
- DJ2 Junctions Inc
- Miriam Ellie Dlouhy
- Gregory Dobbins
- Felicia A. Dobbs
- Andrew Wayne Dobry Jr.
- Stacey Renee Dodd
All providers in Clovis, 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 Feb 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.