Provider Demographics
NPI:1578244851
Name:CHAVEZ, EVE ANNE ELOISA (CSW)
Entity Type:Individual
Prefix:
First Name:EVE ANNE
Middle Name:ELOISA
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WHITEHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7543
Mailing Address - Country:US
Mailing Address - Phone:505-379-9323
Mailing Address - Fax:
Practice Address - Street 1:303 ROMA AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2220
Practice Address - Country:US
Practice Address - Phone:505-569-0709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst