Organization
LITANY OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JEAN KAVALOSKI LPCC (OWNER/CEO)
(505) 635-1215
Entity
Organization
Contact information
Practice address
1010 RIDGEWAY PLACE, FARMINGTON, NM 87401
(505) 327-4530
Mailing address
1213 B SMITH LANE, FARMINGTON, NM 87401
(505) 635-1215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCMH0197151
NM
101YM0800X
Mental Health Counselor
CCMH0197151
NM
101YP2500X
Professional Counselor
Primary
CCMH0197151
NM
106S00000X
Behavior Technician
CCMH0197151
NM
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us