Healthcare Provider Details

I. General information

NPI: 1073302907
Provider Name (Legal Business Name): AMELIA F LA PLANTE HORNE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 RIO RANCHO BLVD NE UNIT 431
RIO RANCHO NM
87124
US

IV. Provider business mailing address

1319 S GONZALES ST
LAS VEGAS NM
87701-3408
US

V. Phone/Fax

Practice location:
  • Phone: 505-900-4029
  • Fax:
Mailing address:
  • Phone: 505-429-2863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2023-1109
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: