Healthcare Provider Details

I. General information

NPI: 1164060695
Provider Name (Legal Business Name): DENA M LAINO LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENA M SILCOX LPCC

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 JUAN TABO BLVD NE STE E
ALBUQUERQUE NM
87112-3358
US

IV. Provider business mailing address

3500 GEORGIA ST NE
ALBUQUERQUE NM
87110-2125
US

V. Phone/Fax

Practice location:
  • Phone: 505-616-6813
  • Fax:
Mailing address:
  • Phone: 505-250-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2024-0285
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: