Provider Demographics
NPI:1689867590
Name:HIMELRIGHT, AMY M (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:HIMELRIGHT
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 1:2740 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-5036
Mailing Address - Country:US
Mailing Address - Phone:505-521-0664
Mailing Address - Fax:
Practice Address - Street 1:2740 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5036
Practice Address - Country:US
Practice Address - Phone:505-521-0664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0096191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional