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General NPI Number Information
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NPI Number | 1952065831
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Entity Type | Individual
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Provider Name | TACY RENE PERKINS LPCC LADAC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1401 S DON ROSER DR STE E-3
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City | LAS CRUCES
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State | NM
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Zip | 88011-4567
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Country | US
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Telephone | 575-489-4616
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Fax | 575-489-4619
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Provider Business Mailing Address
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Address Line | 1909 CUBA AVE STE 5
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5646
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Country | US
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Telephone | 575-489-4616
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Fax | 575-489-4619
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAD0220931
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License Number State | NM
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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 | CTB20250926
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License Number State | NM
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