Mirabal, Angela P
Mirabal, Angela P is an individual health care provider with primary practice located at 3100 Oak St , Las Cruces NM 88005-3425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mirabal, Angela P can be contacted via phone (575) 323-3354.Contact Information
Primary practice address
3100 Oak St
Las Cruces NM 88005-3425
Phone: (575) 323-3354
Fax: (575) 523-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-09438 | New Mexico |
Profile Details
| NPI number | 1093842353 |
|---|---|
| LBN Legal business name | Mirabal, Angela P |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Dec 2nd, 2016 - about 10 years ago |
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 | 1093842353 | NPPES |
| New Mexico | MEDICAID | T9188 |
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