=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093634586
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COUNTY OF LEA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2026
-----------------------------------------------------
Last Update Date | 07/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1019 E. BENDER BLVD
-----------------------------------------------------
City | HOBBS
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-391-2995
-----------------------------------------------------
Fax | 575-397-7413
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 N. MAIN
-----------------------------------------------------
City | LOVINGTON
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88260
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-396-7916
-----------------------------------------------------
Fax | 575-397-7413
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT COUNTY MANAGER
-----------------------------------------------------
Name | KELLY LIVINGSTON DUNFORD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 575-396-7916
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------