Provider Demographics
NPI:1609120195
Name:URBINA, BECKY (LMSW)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:URBINA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 ORGAN PEAK DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7940
Mailing Address - Country:US
Mailing Address - Phone:575-650-5000
Mailing Address - Fax:
Practice Address - Street 1:5803 ORGAN PEAK DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-7940
Practice Address - Country:US
Practice Address - Phone:575-650-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker