LITANY OF LIFE (NPI# 1306323555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306323555 |
Entity Type | Organization |
Organization Name | LITANY OF LIFE |
Practice Address |
1010 Ridgeway Place Farmington NM 87401 |
Mailing Address |
1213 B Smith Lane Farmington NM 87401 |
Practice Telephone | 5053274530 |
Mailing Telephone | 5056351215 |
Enumeration Date | 2018-07-20 |
Last Update Date | 2018-07-20 |
Authorized Official Name | KAREN JEAN KAVALOSKI (OWNER/CEO) |
Authorized Official Telephone | 5056351215 |
Authorized Official Credential | LPCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CCMH0197151 | NM | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
CCMH0197151 | NM | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | CCMH0197151 | NM | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
CCMH0197151 | NM | Behavioral Health & Social Service Providers |
Street Address |
1010 RIDGEWAY PLACE |
City | FARMINGTON |
State | NM |
Zip Code | 87401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
1790131977 | Shawna B Riley | Counselor | 1313 Mission Ave, Farmington, NM 87401 | 2016-05-06 |
Find all providers in zip 87401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
1770122954 | Elizabeth Mary Hrubiec Retano | Counselor | 304 Main St Ste 505, Farmington, CT 06032-2985 | 2020-01-05 |
1013402965 | Susan Elizabeth Valle | Counselor | 219 E Columbia St, Farmington, MO 63640-3106 | 2018-06-23 |
1851885735 | George Killian | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-06-14 |
1457842049 | Tara P Therapy, Pllc | Counselor | 128 Southwinds Rd Ste 5-6, Farmington, AR 72730-8652 | 2018-05-20 |
1861996613 | Simply Being Wellness Counseling | Counselor | 304 Main St Ste 214, Farmington, CT 06032-2985 | 2018-03-19 |
1558870089 | Charles Crawford | Counselor | 6275 Brownsville Rd, Farmington, NY 14425-9550 | 2017-09-27 |
1477073211 | Dustin Scott | Counselor | 400 N Washington St Ste 116, Farmington, MO 63640-1716 | 2017-06-22 |
1730612839 | William Blaine-wallace | Counselor | 456 New Vineyard Rd, Farmington, ME 04938-5216 | 2017-04-05 |
1508307463 | Simone Renee Darby | Counselor | 36996 Brittany Hill Dr, Farmington, MI 48335-2910 | 2017-03-12 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 87401 |
Please comment or provide details below to improve the information on LITANY OF LIFE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.