Healthcare Provider Details

I. General information

NPI: 1528382488
Provider Name (Legal Business Name): COUNSELING WITHIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 ASPEN DR STE101B
SANTA FE NM
87505-5459
US

IV. Provider business mailing address

1925 ASPEN DR STE101B
SANTA FE NM
87505-5459
US

V. Phone/Fax

Practice location:
  • Phone: 505-471-0402
  • Fax: 505-431-6850
Mailing address:
  • Phone: 505-471-0402
  • Fax: 505-431-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. ELAINE MEIZLISH
Title or Position: OWNER/CLINICAL SOCIAL WORKER
Credential: MSW
Phone: 505-471-0402