MEDICARE: SHES KNOWN

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1356221865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHES KNOWN

Provider Business Mailing Address
First Line	:	861 VIA GLORIETA
Second Line	:
City	:	SUNLAND PARK
State	:	NM
Zip	:	88063-9629
Country	:	US
Telephone Number	:	915-344-1885
Fax Number	:

Provider Business Practice Location Address
First Line	:	861 VIA GLORIETA
Second Line	:
City	:	SUNLAND PARK
State	:	NM
Zip	:	88063-9629
Country	:	US
Telephone Number	:	915-344-1885
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GRACE ANGELES
Credential	:	LPCC
Telephone Number	:	915-549-2097

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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Directions to “SHES KNOWN ” Practice Location

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