Healthcare Provider Details

I. General information

NPI: 1689867590
Provider Name (Legal Business Name): AMY M HIMELRIGHT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 HUNTINGTON DR
LAS CRUCES NM
88011-5036
US

IV. Provider business mailing address

2740 HUNTINGTON DR
LAS CRUCES NM
88011-5036
US

V. Phone/Fax

Practice location:
  • Phone: 505-521-0664
  • Fax:
Mailing address:
  • Phone: 505-521-0664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0096191
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: