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NPI Code Detail

MEDICARE: ELIZABETH A.M.K. FARRELL LMHC

MEDICARE: ELIZABETH A.M.K. FARRELL LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCTB-2026-0024NM

General Provider Information

NPI Number : 1225848294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A.M.K. FARRELL LMHC
Provider Business Mailing Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 505-989-4500
Fax Number : 505-443-8313
Provider Business Practice Location Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 505-989-4500
Fax Number : 505-443-8313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2025
Last Update Date : 02/10/2026

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