Acosta, Mirtha Dibely
Acosta, Mirtha Dibely is an sole proprietor health care provider with primary practice located at 803 Tijeras Ave Nw , Albuquerque NM 87102-3096. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Acosta, Mirtha Dibely can be contacted via phone (505) 243-2223.Contact Information
Primary practice address
803 Tijeras Ave Nw
Albuquerque NM 87102-3096
Phone: (505) 243-2223
Fax: (505) 243-3576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0173241 | New Mexico |
Profile Details
| NPI number | 1811383367 |
|---|---|
| LBN Legal business name | Acosta, Mirtha Dibely |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2015 |
| Last updated | Apr 11th, 2015 - about 10 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 | 1811383367 | NPPES |
| New Mexico | MEDICAID | 87177056 |
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