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GRAY WOLF COUNSELING INC. NPI 1700233699


NPI Information

NPI: 1700233699
Provider Name: GRAY WOLF COUNSELING, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
854 MISSION VALLEY RD
CORRALES, NM
ZIP 87048
Phone: (505) 506-1877
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GRAY WOLF COUNSELING, INC. is a marriage family therapist in Corrales, NM. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. GRAY WOLF COUNSELING, INC. NPI is 1700233699. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

854 MISSION VALLEY RD
CORRALES, NM
ZIP 87048-829
Phone: (505) 506-1877

The provider's authorized official is Robert Howard Meddaugh .
The authorized official title is Owner - Therapist and has the following contact phone number (505) 506-1877.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 5/20/2016.


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
1101Y00000XCounselor0125NEVADANo
2101YA0400XCounselorAddiction (Substance Use Disorder)0162551NEW MEXICONo
3106H00000XMarriage & Family Therapist0145071NEW 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
1033514011OTHERNEW MEXICONM CRS

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

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