Willymae Smith-McNeal, LMHC
Individual provider Active NPI Mental Health Counselor · Mescalero, NM
NPI 1760923247 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1760923247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- T0184841 (NM)
- Practice address
- 107 Sunset Loop
Mescalero, NM 88340-0228 - Phone
- (575) 464-4433
- Fax
- (575) 464-4331
- NPI assigned
- Mar 16, 2017
- Reactivated
- Jan 22, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0184841 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mescalero Apache Tribe | Past |
Accepting new patients | |
| Mescalero Tribal Human Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T0184841 | NM | Yes |
Addresses
Primary practice location
107 Sunset Loop
Mescalero, NM 88340-0228
Mailing address
16 Carrizo TRL
Mescalero, NM 88340-9766
Phone (575) 464-4433
Other providers in Mescalero, NM
- Lenora Shendo
- John Lawrence Sickman
- Joaquin R Silva
- Lee David Simmons Jr.
- Sylvia K Smart
- James E Smith
- Edward Manning Sprowl III
- Christopher Studds
- Denise M Torres
- Reginelle Tortilla
All providers in Mescalero, 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 Jan 22, 2019. 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.