Provider Demographics
NPI:1942668629
Name:HEWLETT, NIYERA (LPCC, LCMHC)
Entity Type:Individual
Prefix:
First Name:NIYERA
Middle Name:
Last Name:HEWLETT
Suffix:
Gender:X
Credentials:LPCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 JESSICA DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-0853
Mailing Address - Country:US
Mailing Address - Phone:505-730-9949
Mailing Address - Fax:
Practice Address - Street 1:6200 SEAGULL ST NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2547
Practice Address - Country:US
Practice Address - Phone:505-895-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health