SALENA ETHALENA, ARNETTA MANAOIS (NPI# 1437494226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437494226 |
| Entity Type | Individual |
| Full Name | SALENA ETHALENA, ARNETTA MANAOIS |
| Credential | MA,LAC,LPCC, CNA, |
| Practice Address |
275 W Abriendo Ave Pueblo CO 81004 |
| Mailing Address |
4680 Anille Way Apt 302 Colorado Springs CO 80917-4471 |
| Practice Telephone | 1929621719 |
| Mailing Telephone | 7192327981 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0000924 | CO | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0015870 | CO | Behavioral Health & Social Service Providers |
| N | 376K00000X | Nurse's Aide | NA00703944 | CO | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4725 Meadowland Blvd, Colorado Springs, CO 809182609 | 7192327981 | |
| 1353 S 8th St Ste 202, Colorado Springs, CO 809057341 | 7192327981 |
| Street Address |
275 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073710216 | Ursula Lynette Hollins | Licensed Practical Nurse | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2007-06-29 |
| 1851906390 | Jodi Spinuzzi | Licensed Practical Nurse | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2020-09-11 |
| 1699390005 | Madeline Priscilla Perkins | Registered Nurse | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2020-06-11 |
| 1770102337 | Tina April Bueno | Counselor | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2020-04-14 |
| 1851927925 | Amanda Elaine Trujillo | Counselor | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2020-03-20 |
| 1639647811 | Andrea Hutchens | Counselor | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745900 | Elizabeth Behm | Counselor | 4 Pennwood Ln, Pueblo, CO 81005-1816 | 2019-08-14 |
| 1700364312 | Ashley Brewer | Counselor | 329 Colorado Ave, Pueblo, CO 81004-2005 | 2018-08-06 |
| 1861906448 | Marco R Macaluso | Counselor | 503 N Main St Ste 502, Pueblo, CO 81003-3141 | 2017-11-19 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1043766454 | David Chavez | Counselor | 503 N Main St Ste 543, Pueblo, CO 81003-3141 | 2016-08-27 |
| 1063822856 | Patricia Espinoza | Counselor | 503 N Main St Ste 320, Pueblo, CO 81003-3139 | 2014-05-01 |
| 1386083806 | Sarah Rose Fowler | Counselor | 300 W Abriendo Ave, Pueblo, CO 81004-1814 | 2013-06-18 |
| 1891132627 | Pura Vida Voices, LLP | Counselor | 1624 Bonforte Blvd Ste C, Pueblo, CO 81001-1680 | 2013-06-03 |
| 1316380728 | Barbara Jo Hadley | Counselor | 1624 Bonforte Blvd, Unit C, Pueblo, CO 81001-1679 | 2013-04-16 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on SALENA ETHALENA, ARNETTA MANAOIS.
| 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.