Mary Sue Blackhurst in Roswell - Mental Health
Mary Sue Blackhurst - NPI 1417938952
Mary Sue Blackhurst is a Mental Health in Roswell, New Mexico. Mary Sue Blackhurst practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Sue Blackhurst is 1417938952. The last update date is 2022-07-21.
Mary Sue Blackhurst's current location address is 110 E Mescalero Rd, Roswell, New Mexico. You can contact this provider via phone number 5757552272 and fax number 5756223325. The mailing address for Mary Sue Blackhurst is 110 E Mescalero Rd, Roswell, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Sue Blackhurst |
|---|---|
| Address | 110 E Mescalero Rd, Roswell, New Mexico |
| Phone Number | 5757552272 |
| Fax Number | 5756223325 |
| Sole Proprietor | N |
| Credentials | LPCC |
NPI Number Detail
| NPI Number | 1417938952 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 110 E Mescalero Rd |
|---|---|
| City | Roswell |
| State | New Mexico (NM) |
| Post Code | 88201 |
| Phone Number | 5757552272 |
| Fax Number | 5756223325 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 80161 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9057051 | NM | -- |
Post Comment/ Review Below
What is the Mary Sue Blackhurst's unique identification number?
The Mary Sue Blackhurst has been assigned the NPI (National Provider Identifier) Number 1417938952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mary Sue Blackhurst's physical address?
The Mary Sue Blackhurst is physically located at 110 E Mescalero Rd, in the city of Roswell, NM, with the postal code 88201.
What is Mary Sue Blackhurst's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Sue Blackhurst is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
When did the Mary Sue Blackhurst receive its 1417938952?
The Mary Sue Blackhurst was issued its 1417938952 on 2005-11-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Mary Sue Blackhurst's details last updated?
The information pertaining to the Mary Sue Blackhurst, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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