Healthcare Provider Details
I. General information
NPI: 1447191655
Provider Name (Legal Business Name): A FAMILY COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13 PUEBLO RD
EL PRADO NM
87529-4506
US
IV. Provider business mailing address
13 PUEBLO RD
EL PRADO NM
87529-4506
US
V. Phone/Fax
- Phone: 575-758-3913
- Fax:
- Phone: 575-758-3913
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RISA
LEHRER
Title or Position: OWNER
Credential: LPCC
Phone: 575-758-3913