Chavez, Hailey

Chavez, Hailey is an individual health care provider with primary practice located at 4253 Montgomery Blvd Ne Ste G130 , Albuquerque NM 87109-1106. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chavez, Hailey can be contacted via phone (505) 554-1283.

Contact Information

Primary practice address
4253 Montgomery Blvd Ne Ste G130 Albuquerque NM 87109-1106
Phone: (505) 554-1283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CAMF0214301 New Mexico

Profile Details

NPI number 1396348306
LBN Legal business name Chavez, Hailey
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Jul 18th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396348306 NPPES
New Mexico MEDICAID 45957819

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