Healthcare Provider Details
I. General information
NPI: 1093634586
Provider Name (Legal Business Name): COUNTY OF LEA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1019 E. BENDER BLVD
HOBBS NM
88240
US
IV. Provider business mailing address
100 N. MAIN
LOVINGTON NM
88260
US
V. Phone/Fax
- Phone: 575-391-2995
- Fax: 575-397-7413
- Phone: 575-396-7916
- Fax: 575-397-7413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLY
LIVINGSTON
DUNFORD
Title or Position: ASSISTANT COUNTY MANAGER
Credential:
Phone: 575-396-7916