Mora Independent School
Organization Active NPI Speech-Language Pathologist · Mora, NM
NPI 1952434540 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1952434540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 122095 (NM)
- Legal business name
- MORA INDEPENDENT SCHOOL
- Practice address
- Highway 518 Ranger Rd
Mora, NM 87732 - Phone
- (505) 387-3109
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Ann Garcia
- Title
- Medicaid Coordinator
- Phone
- (505) 387-3109
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Mora Colfax Head Start
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker |
1041S0200X | 247324 | NM | |
| Speech-Language Pathologist |
235Z00000X | 122095 | NM | Yes |
Addresses
Primary practice location
Highway 518 Ranger Rd
Mora, NM 87732
Mailing address
PO Box 179
Mora, NM 87732-0179
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47265 | Medicaid | NM |
Other providers in Mora, NM
- Kids Counseling, Inc
- Michael J. Lee
- Jessica Monique Lucero
- Jessica Rose Martinez
- Tyler E Martinez
- Mora Valley Community Health Services
- Mora Valley Community Health Services Inc
- Mora Valley Community Health Services, Inc
- Mora Valley Community Health Services, Inc.
- Mora Valley Community Health Services, Inc.
All providers in Mora, NM · Speech-Language Pathologist 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 11, 2025. 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.