Healthcare Provider Details

I. General information

NPI: 1750252052
Provider Name (Legal Business Name): BEAR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 TROUT CREEK DR NE
RIO RANCHO NM
87144-6415
US

IV. Provider business mailing address

1612 TROUT CREEK DR NE
RIO RANCHO NM
87144-6415
US

V. Phone/Fax

Practice location:
  • Phone: 505-573-8897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA NORMAN
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPCC
Phone: 505-573-8897