| Organization Name: | PROFESSIONAL COUNSELING ASSOCIATES |
| NPI Number: | 1417370131 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH ANN OAKES (CLINICAL DIRECTOR) |
| Mailing Address: | 419 S 2nd St Tucumcari |
| State: | NM US |
| Postal Code: | 884012859 |
| Phone Number: | 5754725383 |
| Fax Number: | 5754725384 |
| NPI Enumeration Date: | 01/31/2014 |
| NPI Last Update Date: | 01/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | I-04593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |