Healthcare Provider Details

I. General information

NPI: 1619001419
Provider Name (Legal Business Name): ZIA CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W BROADWAY ST STE 1
HOBBS NM
88240-6075
US

IV. Provider business mailing address

215 W BROADWAY ST STE 1
HOBBS NM
88240-6075
US

V. Phone/Fax

Practice location:
  • Phone: 505-393-0692
  • Fax: 505-393-0796
Mailing address:
  • Phone: 575-393-0692
  • Fax: 575-393-0796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN MICHAEL WESTBROOK
Title or Position: OWNER
Credential: LPCC, PH.D.
Phone: 575-393-0692