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General NPI Number Information
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NPI Number | 1407723216
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Entity Type | Organization
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Legal Business Name | MY ASHLEAH INC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 120 S ROSELAWN AVE
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City | ARTESIA
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State | NM
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Zip | 88210-2141
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Country | US
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Telephone | 575-308-3213
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 W CENTRE AVE
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City | ARTESIA
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State | NM
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Zip | 88210-2259
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Country | US
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Telephone | 575-308-3213
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK RICHARDS
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Credential |
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Telephone | 575-308-3213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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