Doctor Name: | MRS. NICOLE MICHELLE MENDEZ |
NPI Number: | 1366742702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 249 White Mountain Dr. Mescalero, NM - 88340 |
Business Phone Number: | 5754640016 |
Business Fax Number: | 5754640010 |
Mailing Address: | 1320 S. Solano, LAS CRUCES |
State: | NM |
Postal Code: | 88001 |
Phone Number: | 5755277900 |
Fax Number: | 5755714872 |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |