Pure Clarity Counseling, Llc | |
2001 E Lohman Ave Ste 110 Las Cruces NM 88001-3197 | |
(575) 520-0887 | |
Not Available |
Full Name | Pure Clarity Counseling, Llc |
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Speciality | Social Worker |
Location | 2001 E Lohman Ave Ste 110, Las Cruces, New Mexico |
Authorized Official Name and Position | Crystal M Tapia (PRESIDENT/OWNER) |
Authorized Official Contact | 5755200887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pure Clarity Counseling, Llc 2001 E Lohman Ave Ste 110 Las Cruces NM 88001-3197 Ph: (575) 520-0887 | Pure Clarity Counseling, Llc 2001 E Lohman Ave Ste 110 Las Cruces NM 88001-3197 Ph: (575) 520-0887 |
NPI Number | 1457851891 |
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Provider Enumeration Date | 02/12/2018 |
Last Update Date | 09/21/2020 |
Certification Date | 09/18/2020 |
Medicare PECOS PAC ID | 0244592988 |
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Medicare Enrollment ID | O20180319000092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457851891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Crystal Tapia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104298181 PECOS PAC ID: 7113214578 Enrollment ID: I20160928001822 |
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