Healthcare Provider Details

I. General information

NPI: 1053228262
Provider Name (Legal Business Name): ASHLEY PARRA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MONICA RD
LOS LUNAS NM
87031-9567
US

IV. Provider business mailing address

11 JAY BIRD LOOP
LOS LUNAS NM
87031-5799
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-3017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberM-10454
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: