SMALL EPIPHANIES INC. NPI 1649414699

NPI Information

NPI: 1649414699
Provider Name: SMALL EPIPHANIES, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
106 S MAIN AVE
AZTEC, NM
ZIP 87410
Phone: (505) 334-4919
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SMALL EPIPHANIES, INC. is a mental health counselor in Aztec, NM. SMALL EPIPHANIES, INC. NPI is 1649414699. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 S MAIN AVE
AZTEC, NM
ZIP 87410-121
Phone: (505) 334-4919
Fax: (505) 334-4916

The provider's authorized official is Josephine Snyder Olson .
The authorized official title is President and has the following contact phone number (505) 334-4919.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 4/21/2009.

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	0213	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	1528256351	OTHER	NEW MEXICO	INDIVIDUAL NPI NUMBER
2	N4017	MEDICAID	NEW MEXICO
3	0213	OTHER	NEW MEXICO	NM STATE THERAPY LICENSE

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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