ROSE LICETI LPC LIBSW NPI 1992861843

NPI Information

NPI: 1992861843
Provider Name: ROSE LICETI, LPC, LIBSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7451 NDCBU
TAOS, NM
ZIP 87571
Phone: (505) 737-0375
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Rose Liceti, LPC, LIBSW is a mental health counselor in Taos, NM. Rose Liceti, LPC, LIBSW NPI is 1992861843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7451 NDCBU
TAOS, NM
ZIP 87571
Phone: (505) 737-0375

The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/8/2007.

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	4342	NEW MEXICO	Yes
2	104100000X	Social Worker		B-2183	NEW MEXICO	X

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	NM100312	OTHER	NEW MEXICO	VALUE OPTIONS

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: 11/14/2023

NPI Synchronization or Removal

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