Gomez, Irene
Gomez, Irene is an individual health care provider with primary practice located at 785 Anthony Drive , Anthony NM 88021-2671. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gomez, Irene can be contacted via phone (575) 882-5100.Contact Information
Primary practice address
785 Anthony Drive
Anthony NM 88021-2671
Phone: (575) 882-5100
Fax: (575) 882-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CTL0204661 | New Mexico |
Profile Details
| NPI number | 1114568656 |
|---|---|
| LBN Legal business name | Gomez, Irene |
| Credentials | MA, LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2019 |
| Last updated | Oct 7th, 2019 - about 5 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 | 1114568656 | NPPES |
| New Mexico | MEDICAID | 35650338 |
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