Healthcare Provider Details

I. General information

NPI: 1144410218
Provider Name (Legal Business Name): MARGARET HOLFORD LPC, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN HOLFORD LPC, CHT

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 FULTON LN
SANTA FE NM
87505-0761
US

IV. Provider business mailing address

369 MONTEZUMA AVE # 178
SANTA FE NM
87501-2835
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-7641
  • Fax: 505-988-7641
Mailing address:
  • Phone: 505-988-7641
  • Fax: 505-988-2834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1545
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: