Provider Demographics
NPI:1528382488
Name:COUNSELING WITHIN LLC
Entity Type:Organization
Organization Name:COUNSELING WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIZLISH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:505-471-0402
Mailing Address - Street 1:1925 ASPEN DR
Mailing Address - Street 2:STE101B
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5459
Mailing Address - Country:US
Mailing Address - Phone:505-471-0402
Mailing Address - Fax:505-431-6850
Practice Address - Street 1:1925 ASPEN DR
Practice Address - Street 2:STE101B
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5459
Practice Address - Country:US
Practice Address - Phone:505-471-0402
Practice Address - Fax:505-431-6850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM44187378Medicaid
NMNMA102805Medicare PIN