Abercrombie, Brenda Rae
Abercrombie, Brenda Rae is an sole proprietor health care provider with primary practice located at 900 St Francis Dr , Tularosa NM 88352-2328. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Abercrombie, Brenda Rae can be contacted via phone (575) 585-4319.Contact Information
Primary practice address
900 St Francis Dr
Tularosa NM 88352-2328
Phone: (575) 585-4319
Fax: (575) 993-5303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1271 (LPCC) | New Mexico |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 006083 (LADAC) | New Mexico |
Profile Details
| NPI number | 1518074749 |
|---|---|
| LBN Legal business name | Abercrombie, Brenda Rae |
| Credentials | MA, LPCC, LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Oct 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518074749 | NPPES |
| New Mexico | Other | NM01JA60 | BCBS OF NM |
| New Mexico | Other | NM101063 | BCBS OF NM |
| New Mexico | Other | 24078 | BCBS OF NM |
| New Mexico | MEDICAID | 97235211 | BCBS OF NM |
| New Mexico | Other | 201023019 | BCBS OF NM |
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