LISA DYKES-HARRELL LLC NPI 1881992311

NPI Information

NPI: 1881992311
Provider Name: LISA DYKES-HARRELL, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
100 S AVE A
PORTALES, NM
ZIP 88130
Phone: (575) 749-3736
Get Directions

LISA DYKES-HARRELL, LLC is a mental health counselor in Portales, NM. LISA DYKES-HARRELL, LLC NPI is 1881992311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 S AVE A
PORTALES, NM
ZIP 88130-917
Phone: (575) 749-3736
Fax: (575) 226-6892

The provider's authorized official is Lisa L. Dykes-harrell .
The authorized official title is Counselor and has the following contact phone number (575) 749-3736.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 6/19/2012.

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	005790	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	1316956923	OTHER	NEW MEXICO	SOLE PROPRIETER NPI 1316956923
2	11783765	OTHER	NEW MEXICO	CAQH
3	04850041	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: 5/5/2024

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