Healthcare Provider Details

I. General information

NPI: 1033403878
Provider Name (Legal Business Name): DAVID A MCVEY CMHC (LPCC)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 04/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W. 21ST
CLOVIS NM
88101
US

IV. Provider business mailing address

1100 W. 21ST
CLOVIS NM
88101
US

V. Phone/Fax

Practice location:
  • Phone: 575-461-7143
  • Fax: 575-461-7147
Mailing address:
  • Phone: 575-769-2345
  • Fax: 575-769-9013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0165731
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: