Provider Demographics
NPI:1255984365
Name:PLANTE, EMILY L (LPCC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:L
Last Name:PLANTE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11827 ELVIN AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3475
Mailing Address - Country:US
Mailing Address - Phone:505-514-6366
Mailing Address - Fax:
Practice Address - Street 1:5808 MCLEOD RD NE STE O
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2468
Practice Address - Country:US
Practice Address - Phone:505-585-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMH0203731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health