MEDICARE: MRS. AMY M HIMELRIGHT LPCC

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	0096191	NM

General Provider Information

NPI Number	:	1689867590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY M HIMELRIGHT LPCC

Provider Business Mailing Address
First Line	:	2740 HUNTINGTON DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-5036
Country	:	US
Telephone Number	:	505-521-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2740 HUNTINGTON DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-5036
Country	:	US
Telephone Number	:	505-521-0664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	08/23/2007

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