| Doctor Name: | ANNA MARIA ARCHULETA |
| NPI Number: | 1053796284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | M-08592 |
| Business Practice Address: | 250 Shadow Mountain Rd. Taos, NM - 87571 |
| Business Phone Number: | 5757581630 |
| Business Fax Number: | 5757511371 |
| Mailing Address: | 250 Shadow Mountain Rd., TAOS |
| State: | NM |
| Postal Code: | 87571 |
| Phone Number: | 5757581630 |
| Fax Number: | 5757511371 |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M-08592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |