Rivas, Miriam V
Rivas, Miriam V is an sole proprietor health care provider with primary practice located at 4950 Mcnutt Rd. , Sunland Park NM 88021. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rivas, Miriam V can be contacted via phone (915) 203-5103.Contact Information
Primary practice address
4950 Mcnutt Rd.
Sunland Park NM 88021
Phone: (915) 203-5103
Fax: (915) 351-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0110021 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0128131 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 66211 | Texas |
Profile Details
| NPI number | 1811015647 |
|---|---|
| LBN Legal business name | Rivas, Miriam V |
| Credentials | LPCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | May 18th, 2011 - about 13 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 | 1811015647 | NPPES |
| New Mexico | Other | NM600035 | NM MEDICAID |
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