Clay, Rochell Denise
Clay, Rochell Denise is an sole proprietor health care provider with primary practice located at 750 Broadmoor Blvd Ne Ste E , Rio Rancho NM 87124-3442. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clay, Rochell Denise can be contacted via phone (505) 306-4060.Contact Information
Primary practice address
750 Broadmoor Blvd Ne Ste E
Rio Rancho NM 87124-3442
Phone: (505) 306-4060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0177271 | New Mexico |
Profile Details
| NPI number | 1356691737 |
|---|---|
| LBN Legal business name | Clay, Rochell Denise |
| Credentials | MA, LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Feb 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356691737 | NPPES |
| New Mexico | MEDICAID | 19339577 | |
| New Mexico | MEDICAID | 25709097 |
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