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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
DJ2 Junctions Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X 0144951 NM
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 0148831 NM
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 0170731 NM
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 0144951 NM Yes
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
51206544MedicaidNM
357783771MedicaidNM

Other providers in Clovis, NM

All providers in Clovis, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.