Healthcare Provider Details

I. General information

NPI: 1437275393
Provider Name (Legal Business Name): EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 EAGLE DRIVE
OHKAY OWINGEH NM
87566-0346
US

IV. Provider business mailing address

P.O. BOX 969
OHKAY OWINGEH NM
87566-0969
US

V. Phone/Fax

Practice location:
  • Phone: 505-852-1377
  • Fax: 505-852-1378
Mailing address:
  • Phone: 505-747-1593
  • Fax: 505-747-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN MORFIN
Title or Position: DIRECTOR OF FINANCIAL OPERATIONS
Credential:
Phone: 505-929-5186