Healthcare Provider Details

I. General information

NPI: 1427115872
Provider Name (Legal Business Name): BETH A DARROW MS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETH A MYERS MS LPCC

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3212 MONTE VISTA BLVD NE
ALBUQUERQUE NM
87106-2120
US

IV. Provider business mailing address

6457 VOOSCANE AVE
COCHITI LAKE NM
87083-6001
US

V. Phone/Fax

Practice location:
  • Phone: 903-315-1678
  • Fax:
Mailing address:
  • Phone: 903-316-1678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12904
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCCNH0177881
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: