Provider Demographics
NPI:1710495940
Name:PYAGA, ADONATA (MS, LPCC, LMHC)
Entity Type:Individual
Prefix:
First Name:ADONATA
Middle Name:
Last Name:PYAGA
Suffix:
Gender:F
Credentials:MS, LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BISBEE CT STE 109
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-1419
Mailing Address - Country:US
Mailing Address - Phone:505-983-0693
Mailing Address - Fax:
Practice Address - Street 1:532 DON GASPAR AVE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2626
Practice Address - Country:US
Practice Address - Phone:505-983-0693
Practice Address - Fax:505-393-3070
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0193121101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health