ETHEL SHAW
NPI 1013215110
Counselor in Tucumcari, NM

Active since March 14, 2011
1110 E. HIGH STREET, TUCUMCARI, NM 88401(575) 461-4411(575) 461-4102 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethel Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL SHAW (NPI 1013215110) is an individual counselor in Tucumcari, New Mexico and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1013215110
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameETHEL SHAW
Location Address1110 E. HIGH STREETTucumcari, NM 88401
Mailing AddressP.o. Box 28820Santa Fe, NM 87592
Fax(575) 461-4102
Sole ProprietorNo
Enumeration DateMarch 14, 2011
NPI 1013215110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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's degree and clinical experience and supervision for licensure or certification.

1110 E. HIGH STREET, Tucumcari, NM 88401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013215110, enumerated as an "individual" on March 14, 2011.

The provider is located at 1110 E. HIGH STREET TUCUMCARI, NM 88401 and the phone number is (575) 461-4411.

Counselor with taxonomy code 101Y00000X.