MIRANDA PUENTE BSW NPI 1164096285

NPI Information

NPI: 1164096285
Provider Name: MIRANDA PUENTE, BSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2521 4TH AVE
PUEBLO, CO
ZIP 81003
Phone: (719) 778-4237
Get Directions

Miranda Puente, BSW is a mental health counselor in Pueblo, CO. Miranda Puente, BSW NPI is 1164096285. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2521 4TH AVE
PUEBLO, CO
ZIP 81003-704
Phone: (719) 778-4237

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.

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	101YM0800X	Counselor	Mental Health	12789	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12789	OTHER	OKLAHOMA	BLUE CROSS BLUE SHIELD

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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