Tafoya, Breena S
Tafoya, Breena S is an sole proprietor health care provider with primary practice located at 715 E Idaho Ave Ste 2E , Las Cruces NM 88001-4701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tafoya, Breena S can be contacted via phone (575) 556-9585.Contact Information
Primary practice address
715 E Idaho Ave Ste 2E
Las Cruces NM 88001-4701
Phone: (575) 556-9585
Fax: (575) 556-9456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | New Mexico |
Profile Details
| NPI number | 1851439475 |
|---|---|
| LBN Legal business name | Tafoya, Breena S |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Aug 12th, 2013 - about 11 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 | 1851439475 | NPPES |
| New Mexico | MEDICAID | 33376824 |
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