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Ms. Michelle D Pistole, PISW
Community/Behavioral Health Agency in Bloomfield, New Mexico
NPI 1790066165

Michelle D Pistole is a Community/Behavioral Health Agency based in Bloomfield, NM. Michelle D Pistole practices in Bloomfield, NM and has the professional credentials of PISW. The NPI Number for Michelle D Pistole is 1790066165 and holds a License No. X-07511 (New Mexico).

The current practice location address for Michelle D Pistole is 371 County Road 5500, Bloomfield, NM and can be reached out via phone at 505-486-6697.

Location: 371 County Road 5500, Bloomfield, NM, 87413-9302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790066165
Provider Name
Michelle D Pistole
Credential
PISW
Provider Entity Type
Individual
Gender
Female
Address
371 County Road 5500, Bloomfield, NM, 87413-9302
Phone Number
505-486-6697
Fax Number
Provider Enumeration Date
08/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
371 County Road 5500
City
Bloomfield
State
New Mexico
Zip
87413-9302
Phone Number
505-486-6697
Fax Number
person
Provider Business Mailing Address Details
Address
371 County Road 5500
City
Bloomfield
State
New Mexico
Zip
87413-9302
Phone Number
505-486-6697
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
X-08775 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
X-07511 (New Mexico)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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