| Doctor Name: | MICHAEL KEITH FORD |
| NPI Number: | 1164648721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | M-05659 |
| Business Practice Address: | 820 Hwy 478 Anthony, NM - 88021 |
| Business Phone Number: | 5758825101 |
| Business Fax Number: | 5758822858 |
| Mailing Address: | P.o. Box 4430, ANTHONY |
| State: | NM |
| Postal Code: | 88021 |
| Phone Number: | 5758825101 |
| Fax Number: | 5758822858 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M-05659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |