Provider Demographics
NPI:1073892725
Name:NEVES, HALI (MA, PPC)
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:
Last Name:NEVES
Suffix:
Gender:F
Credentials:MA, PPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W GUTIERREZ APT 905
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-0965
Mailing Address - Country:US
Mailing Address - Phone:307-568-2020
Mailing Address - Fax:307-213-9484
Practice Address - Street 1:323 S COLLEGE AVE STE 3
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2845
Practice Address - Country:US
Practice Address - Phone:307-213-9484
Practice Address - Fax:844-951-3257
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-616101Y00000X
WYLPC-1334101YP2500X
NMCCMH0214791101YP2500X
CO0014207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor