MS. ELOUISE BLACKGOAT COUNSELOR NPI 1043415854

NPI Information

NPI: 1043415854
Provider Name: MS. ELOUISE BLACKGOAT, COUNSELOR
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
300 W NIZHONI BLVD STE A
GALLUP, NM
ZIP 87301
Phone: (505) 722-9470
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MS. Elouise Blackgoat, COUNSELOR is a counselor in Gallup, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Elouise Blackgoat, COUNSELOR NPI is 1043415854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 W NIZHONI BLVD STE A
GALLUP, NM
ZIP 87301
Phone: (505) 722-9470
Fax: (505) 722-9570

The enumeration date for this NPI number is 6/20/2007 and was last updated on 6/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0122361	NEW MEXICO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11440	ARIZONA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0122361	NEW MEXICO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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