Healthcare Provider Details

I. General information

NPI: 1821993718
Provider Name (Legal Business Name): EMPOWERING BEHAVIORAL HEALTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7110 HIGHWAY 187
GARFIELD NM
87936-0109
US

IV. Provider business mailing address

PO BOX 154 7110 HIGHWAY 187
GARFIELD NM
87936-0154
US

V. Phone/Fax

Practice location:
  • Phone: 575-571-5339
  • Fax:
Mailing address:
  • Phone: 575-571-5339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERRY BEATRICE BERRIDGE
Title or Position: MANAGER
Credential: LCSW
Phone: 575-571-5339