Provider Demographics
NPI:1093262636
Name:PLATICAS
Entity Type:Organization
Organization Name:PLATICAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA,NCC,LPCC
Authorized Official - Phone:505-710-2291
Mailing Address - Street 1:P O BOX 8085
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87198-8085
Mailing Address - Country:US
Mailing Address - Phone:505-710-2291
Mailing Address - Fax:505-872-0050
Practice Address - Street 1:1820 SAN PEDRO NE
Practice Address - Street 2:SUITE 9
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5956
Practice Address - Country:US
Practice Address - Phone:505-710-2291
Practice Address - Fax:505-872-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0160661101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty