CLARENCE AUSTIN CHURCH LMHC NPI 1871235655

NPI Information

NPI: 1871235655
Provider Name: CLARENCE AUSTIN CHURCH, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2901 E 20TH ST
FARMINGTON, NM
ZIP 87402
Phone: (505) 326-0241
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Clarence Austin Church, LMHC is a mental health counselor in Farmington, NM with 4 years of experience. Clarence Austin Church, LMHC NPI is 1871235655. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 E 20TH ST
FARMINGTON, NM
ZIP 87402-411
Phone: (505) 326-0241

The NPI 1871235655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 4/11/2022.

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	CTL0222201	NEW MEXICO	Yes

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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