Healthcare Provider Details

I. General information

NPI: 1194445106
Provider Name (Legal Business Name): EMILY KATHERINE PARCHMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/23/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 BECKNER ROAD
SANTA FE NM
87507
US

IV. Provider business mailing address

6519 HORSESHOE DR
COCHITI LAKE NM
87083-6027
US

V. Phone/Fax

Practice location:
  • Phone: 505-929-4500
  • Fax: 505-844-3860
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2022-0520
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: