Deadra D. Carrillo in Bloomfield - Mental Health
Deadra D. Carrillo - NPI 1023154085
Deadra D. Carrillo is a Mental Health in Bloomfield, New Mexico. Deadra D. Carrillo practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Deadra D. Carrillo is 1023154085. The last update date is 2007-07-08.
Deadra D. Carrillo's current location address is 333 Road 4990, Bloomfield, New Mexico. You can contact this provider via phone number 5056326713. The mailing address for Deadra D. Carrillo is 333 Road 4990, Bloomfield, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deadra D. Carrillo |
|---|---|
| Address | 333 Road 4990, Bloomfield, New Mexico |
| Phone Number | 5056326713 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. LPC |
NPI Number Detail
| NPI Number | 1023154085 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 Road 4990 |
|---|---|
| City | Bloomfield |
| State | New Mexico (NM) |
| Post Code | 874139626 |
| Phone Number | 5056326713 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 510 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Deadra D. Carrillo's unique identification number?
The Deadra D. Carrillo has been assigned the NPI (National Provider Identifier) Number 1023154085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Deadra D. Carrillo?
The Deadra D. Carrillo is situated at 333 Road 4990, in the city of Bloomfield, state of NM, with the zip code 874139626.
What is Deadra D. Carrillo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deadra D. Carrillo is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023154085 to Deadra D. Carrillo?
The Centers for Medicare & Medicaid Services originally issued the 1023154085 to Deadra D. Carrillo on 2007-01-29.
As of what date was the information pertaining to Deadra D. Carrillo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Deadra D. Carrillo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.