ACTION COUNSELING SERVICE LLC NPI 1578602413

NPI Information

NPI: 1578602413
Provider Name: ACTION COUNSELING SERVICE LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3505 RIVERSIDE
ROSWELL, NM
ZIP 88201
Phone: (505) 317-5101
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ACTION COUNSELING SERVICE LLC is a professional counselor in Roswell, NM. ACTION COUNSELING SERVICE LLC NPI is 1578602413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3505 RIVERSIDE
ROSWELL, NM
ZIP 88201
Phone: (505) 317-5101

The provider's authorized official is Gilbert E Jimenez .
The authorized official title is Clinical Therapist and has the following contact phone number (505) 317-5101.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

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	101YP2500X	Counselor	Professional	LPCC005511	NEW MEXICO	Yes
2	106H00000X	Marriage & Family Therapist		LMFT4794	NEW MEXICO	X

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	68785721	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: 4/28/2024

NPI Synchronization or Removal

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