Provider Demographics
NPI:1205900057
Name:STOPS, MARIA L (LMSW,LPCC)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:STOPS
Suffix:
Gender:F
Credentials:LMSW,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 N ALAMEDA BLVD
Mailing Address - Street 2:SUITE3
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2194
Mailing Address - Country:US
Mailing Address - Phone:505-522-0399
Mailing Address - Fax:505-522-1866
Practice Address - Street 1:741 N ALAMEDA BLVD
Practice Address - Street 2:SUITE3
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2194
Practice Address - Country:US
Practice Address - Phone:505-522-0399
Practice Address - Fax:505-522-1866
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-16541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical