Provider Demographics
NPI:1710519525
Name:C.O.P.E COUNSELING LLC
Entity Type:Organization
Organization Name:C.O.P.E COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-658-4322
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:NEW LAGUNA
Mailing Address - State:NM
Mailing Address - Zip Code:87038-0192
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:505-375-2545
Practice Address - Street 1:108 E HIGH ST
Practice Address - Street 2:
Practice Address - City:GRANTS
Practice Address - State:NM
Practice Address - Zip Code:87020-2453
Practice Address - Country:US
Practice Address - Phone:505-658-4322
Practice Address - Fax:505-375-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902055429OtherNPI