Provider Demographics
NPI:1972819381
Name:MOUNCE, BARBARA L (MSEDLMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:MOUNCE
Suffix:
Gender:F
Credentials:MSEDLMHC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:L
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 VALVERDE ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-2608
Mailing Address - Country:US
Mailing Address - Phone:575-302-3549
Mailing Address - Fax:575-302-3549
Practice Address - Street 1:915 VALVERDE ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-2608
Practice Address - Country:US
Practice Address - Phone:575-302-3549
Practice Address - Fax:575-302-3549
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0140501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1972819381OtherPRIVATE COUNSELING PRACTICE