MS. ELOUISE BLACKGOAT COUNSELOR - NPI 1043415854

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

On this page

About Ms. Elouise Blackgoat Counselor NPPES

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

MS. ELOUISE BLACKGOAT COUNSELOR (NPI 1043415854) is an individual counselor in Gallup, New Mexico, licensed in New Mexico (0122361) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1043415854

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. ELOUISE BLACKGOATCredential: COUNSELOR

Location Address300 W NIZHONI BLVD STE AGallup, NM 87301

Mailing Address300 W Nizhoni Blvd Ste AGallup, NM 87301-5766 · (505) 722-9470 · Fax (505) 722-9570

Phone(505) 722-9470

Fax(505) 722-9570

Sole ProprietorNo

Enumeration DateJune 20, 2007

Last NPPES UpdateJune 28, 2018

✔ NPI 1043415854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NM · 0122361

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11440 (AZ), 0122361 (NM)

300 W NIZHONI BLVD STE A, Gallup, NM 87301

Open in Google Maps ↗