Healthcare Provider Details

I. General information

NPI: 1922967520
Provider Name (Legal Business Name): PATRICIA FINE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 SULLIVAN AVE STE 5
FARMINGTON NM
87401-4324
US

IV. Provider business mailing address

604 ROSA ST
FARMINGTON NM
87401-3909
US

V. Phone/Fax

Practice location:
  • Phone: 505-578-7563
  • Fax:
Mailing address:
  • Phone: 505-427-7251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPAR-0000271291
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: