Burgess, Virginia Lee
Burgess, Virginia Lee is an individual health care provider with primary practice located at 1001 W Broadway Ste D Behavioral Health Dept., Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burgess, Virginia Lee can be contacted via phone (505) 566-0317.Contact Information
Primary practice address
1001 W Broadway Ste D Behavioral Health Dept.
Farmington NM 87401-5638
Phone: (505) 566-0317
Fax: (505) 327-7247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06004 | New Mexico |
Profile Details
| NPI number | 1457339764 |
|---|---|
| LBN Legal business name | Burgess, Virginia Lee |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457339764 | NPPES |
| New Mexico | MEDICAID | K5222 | |
| New Mexico | Other | 644452 |
Popular Providers
-
Powell, Darren
1001 W Broadway Ste D , Farmington NM 87401-5638 -
Schramm, Erica Rose
1001 W Broadway , Farmington NM 87401-5638 -
Pugh-Rivette, Julie Rene'
1001 W Broadway Suite D, Farmington NM 87401-5638 -
Hein, Sean Michael
851 Andrea Dr Bldg E Ste 4 , Farmington NM 87401-6726 -
Matthews, Camille
904 E 20Th St Ste B, Farmington NM 87401 -
Carlson, Kristine Leigh
1615 Ojo Court , Farmington NM 87401-5638 -
Novak, Andreas
3300 N Butler Ave Suite 204, Farmington NM 87401-5621 -
Chaloner, Cheryl
501 Airport Dr Ste 253 , Farmington NM 87401-2646