R. DENISE CLAY LLC NPI 1518331750

NPI Information

NPI: 1518331750
Provider Name: R. DENISE CLAY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4011 BARBARA LOOP SE
SUITE #107
RIO RANCHO, NM
ZIP 87124
Phone: (505) 306-4060
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R. DENISE CLAY LLC is a mental health counselor in Rio Rancho, NM. R. DENISE CLAY LLC NPI is 1518331750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4011 BARBARA LOOP SE
SUITE #107
RIO RANCHO, NM
ZIP 87124-039
Phone: (505) 306-4060

The provider's authorized official is Rochell Denise Clay .
The authorized official title is Professional Clinical Counselor and has the following contact phone number (505) 306-4060.

The enumeration date for this NPI number is 11/28/2015 and was last updated on 2/11/2016.

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	0177271	NEW MEXICO	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	19339577	MEDICAID	NEW MEXICO

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: 5/5/2024

NPI Synchronization or Removal

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