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NPI Code Detail

MEDICARE: BERNADETTE MONTOYA L.M.H.C.

MEDICARE:   BERNADETTE  MONTOYA  L.M.H.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor0182471NM
2101YM0800XMental Health Counselor0182471NM

General Provider Information

NPI Number : 1578012506
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE MONTOYA L.M.H.C.
Provider Business Mailing Address
First Line : 105 PASEO DEL CANON W STE A
Second Line :
City : TAOS
State : NM
Zip : 87571-6943
Country : US
Telephone Number : 505-737-5533
Fax Number :
Provider Business Practice Location Address
First Line : 2301 7TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4966
Country : US
Telephone Number : 505-454-9611
Fax Number : 505-454-8079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2016
Last Update Date : 06/12/2026

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Directions to “ BERNADETTE MONTOYA L.M.H.C.” Practice Location

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