Mitchell, Judy L.
Mitchell, Judy L. is an individual health care provider with primary practice located at 921 E 21St St Suite D, Clovis NM 88101-4443. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mitchell, Judy L. can be contacted via phone (505) 762-0212.Contact Information
Primary practice address
921 E 21St St Suite D
Clovis NM 88101-4443
Phone: (505) 762-0212
Fax: (505) 762-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2577 | New Mexico |
Profile Details
| NPI number | 1922181015 |
|---|---|
| LBN Legal business name | Mitchell, Judy L. |
| Credentials | MA, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1922181015 | NPPES |
| New Mexico | Other | NM01R63F | BLUE CROSS BLUE SHIELD |
| New Mexico | MEDICAID | 70173737 | BLUE CROSS BLUE SHIELD |
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