Provider Demographics
NPI:1457450140
Name:SILVA, EVA (LPCC)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 SAN PEDRO DR NE
Mailing Address - Street 2:SUITE 101 A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4131
Mailing Address - Country:US
Mailing Address - Phone:505-883-3076
Mailing Address - Fax:505-883-3076
Practice Address - Street 1:2501 SAN PEDRO DR NE
Practice Address - Street 2:SUITE 101 A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4131
Practice Address - Country:US
Practice Address - Phone:505-883-3076
Practice Address - Fax:505-883-3076
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0065932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health