Flores, Elia Jacqueline
Flores, Elia Jacqueline is an sole proprietor health care provider with primary practice located at 1325 Washington St , Anthony NM 88021-8846. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Flores, Elia Jacqueline can be contacted via phone (575) 882-6101.Contact Information
Primary practice address
1325 Washington St
Anthony NM 88021-8846
Phone: (575) 882-6101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0109051 | New Mexico |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SWB-2022-0850 | New Mexico |
Profile Details
| NPI number | 1023292745 |
|---|---|
| LBN Legal business name | Flores, Elia Jacqueline |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Apr 5th, 2023 - about last year |
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 | 1023292745 | NPPES |
| New Mexico | MEDICAID | VNM30451NI |
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