Provider Demographics
NPI:1093984650
Name:ASSOCIATES FOR COUNSELING & RECOVERY, LLC
Entity Type:Organization
Organization Name:ASSOCIATES FOR COUNSELING & RECOVERY, LLC
Other - Org Name:COUNSELING @ RECOVERY, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:575-526-1942
Mailing Address - Street 1:642 S ALAMEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2801
Mailing Address - Country:US
Mailing Address - Phone:575-526-1942
Mailing Address - Fax:575-647-1106
Practice Address - Street 1:642 S ALAMEDA BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2801
Practice Address - Country:US
Practice Address - Phone:575-566-1942
Practice Address - Fax:575-647-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM242251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management