Provider Demographics
NPI:1659529691
Name:BARTLEY, NANCY A (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CARPER DR
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-2345
Mailing Address - Country:US
Mailing Address - Phone:575-513-2209
Mailing Address - Fax:
Practice Address - Street 1:710 CARPER DR
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-2345
Practice Address - Country:US
Practice Address - Phone:575-513-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0111981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health