Provider Demographics
NPI:1164808606
Name:FILIPIAK, MARCIA RENEE (LPCC, LADAC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:RENEE
Last Name:FILIPIAK
Suffix:
Gender:F
Credentials:LPCC, LADAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 ISTLE RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1575
Mailing Address - Country:US
Mailing Address - Phone:505-289-0198
Mailing Address - Fax:505-592-5192
Practice Address - Street 1:2600 ISTLE RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1575
Practice Address - Country:US
Practice Address - Phone:505-289-0198
Practice Address - Fax:505-592-5192
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0166121101YA0400X
WI15840-131101YA0400X
WI5141-125101YP2500X
NM0173731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)