Healthcare Provider Details

I. General information

NPI: 1285508945
Provider Name (Legal Business Name): RANIESE A'NET HOWARD LBSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W AVENUE K
LOVINGTON NM
88260-5514
US

IV. Provider business mailing address

PO BOX 182
LOVINGTON NM
88260-0182
US

V. Phone/Fax

Practice location:
  • Phone: 575-739-2272
  • Fax:
Mailing address:
  • Phone: 575-739-2272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSWB-2025-0114
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: