Raley, Paula L
Raley, Paula L is an individual health care provider with primary practice located at 2112 Main Street Ne Suite A, Los Lunas NM 87031. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Raley, Paula L can be contacted via phone (505) 916-5900.Contact Information
Primary practice address
2112 Main Street Ne Suite A
Los Lunas NM 87031
Phone: (505) 916-5900
Fax: (505) 916-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M07384 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | New Mexico |
Profile Details
| NPI number | 1437464138 |
|---|---|
| LBN Legal business name | Raley, Paula L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2010 |
| Last updated | Sep 11th, 2015 - about 9 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 | 1437464138 | NPPES |
| New Mexico | MEDICAID | 49335871 |
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