Urioste, Samantha M

Urioste, Samantha M is an individual health care provider with primary practice located at 2301 7Th St Ste A , Las Vegas NM 87701-4966. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Urioste, Samantha M can be contacted via phone (505) 454-9611.

Contact Information

Primary practice address
2301 7Th St Ste A Las Vegas NM 87701-4966
Phone: (505) 454-9611
Fax: (505) 454-8079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0209461 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X New Mexico

Profile Details

NPI number 1629601497
LBN Legal business name Urioste, Samantha M
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2020
Last updated Nov 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629601497 NPPES
New Mexico MEDICAID 63157098

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