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General NPI Number Information
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NPI Number | 1578357117
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Entity Type | Organization
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Legal Business Name | BIRD AND COMPASS THERAPY LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 114 MANZANARES AVE E
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City | SOCORRO
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State | NM
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Zip | 87801-4213
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Country | US
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Telephone | 575-747-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 114 MANZANARES AVE E
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City | SOCORRO
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State | NM
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Zip | 87801-4213
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Country | US
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Telephone | 575-747-1460
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Fax | 406-272-7191
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Authorized Official
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Title or Position | OWNER
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Name | AMY ALLISON RAY
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Credential | MHC
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Telephone | 575-747-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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