institution
Lisa Dykes-harrell, Llc
Mental Health Counselor in Portales, New Mexico
NPI 1881992311

Lisa Dykes-harrell, Llc is a Mental Health Counselor based in Portales, NM and is specialized in Mental Health. Lisa Dykes-harrell, Llc practices in Portales, NM. The NPI Number for Lisa Dykes-harrell, Llc is 1881992311 and holds a License No. 005790 (New Mexico).

The current practice location address for Lisa Dykes-harrell, Llc is 100 S Ave A, Portales, NM and can be reached out via phone at 575-749-3736 and via fax at 575-226-6892.

Location: 100 S Ave A, Portales, NM, 88130
institution
Provider Profile Details
NPI Number
1881992311
Provider Name
Lisa Dykes-harrell, Llc
Credential
Provider Entity Type
Organization
Address
100 S Ave A, Portales, NM, 88130
Phone Number
575-749-3736
Fax Number
575-226-6892
Provider Enumeration Date
03/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04850041 05 NM
11783765 01 NM CAQH
1316956923 01 NM SOLE PROPRIETER NPI 1316956923
institution
Provider Business Practice Location Address Details
Address
100 S Ave A
City
State
Zip
88130-5917
Phone Number
575-749-3736
Fax Number
575-226-6892
person
Provider Business Mailing Address Details
Address
100 S Ave A
City
State
Zip
88130-5917
Phone Number
575-749-3736
Fax Number
575-226-6892
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
005790 (New Mexico)
Definition
Definition to come...
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