MANZANO MOUNTAIN COUNSELING LLC NPI 1619488608

NPI Information

  • NPI: 1619488608
  • Provider Name: MANZANO MOUNTAIN COUNSELING LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1011 ALLEN AVENUE WEST
    ESTANCIA, NM
    ZIP 87016
  • Phone: (505) 818-7881

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NPI Details

MANZANO MOUNTAIN COUNSELING LLC is a mental health counselor in Estancia, NM. MANZANO MOUNTAIN COUNSELING LLC NPI is 1619488608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1011 ALLEN AVENUE WEST
ESTANCIA, NM
ZIP 87016
Phone: (505) 818-7881

The provider's authorized official is Rosalind Gumaer .
The authorized official title is Authorized Agent and has the following contact phone number (518) 755-3758.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 6/16/2018.

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
1101YM0800XCounselorMental HealthI-08197NEW MEXICONo
2101YM0800XCounselorMental HealthC-09413NEW MEXICOYes

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
1111575365OTHERNEW YORKSOLUTIONS, A BRIEF THERAPY CENTER LLC
21861738924OTHERNEW MEXICOVALENCIA COUNSELING

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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