MRS. MIRANDA DAWN ANTONIO A.A. NPI 1104008432

NPI Information

  • NPI: 1104008432
  • Provider Name: MRS. MIRANDA DAWN ANTONIO, A.A.
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 253 PECOS RD
    TULAROSA, NM
    ZIP 88352
  • Phone: (505) 379-4838

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NPI Details

MRS. Miranda Dawn Antonio, A.A. is a counselor in Tularosa, 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. MRS. Miranda Dawn Antonio, A.A. NPI is 1104008432. 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:

253 PECOS RD
TULAROSA, NM
ZIP 88352-666
Phone: (505) 379-4838

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.

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
1101Y00000XCounselorYes

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: 11/21/2025

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