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MRS. MIRANDA DAWN ANTONIO A.A.
NPI 1104008432
Counselor in Tularosa, NM

Active since November 28, 2007
253 PECOS RD, TULAROSA, NM 88352(505) 379-4838 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Miranda Dawn Antonio A.a. NPPES

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

MRS. MIRANDA DAWN ANTONIO A.A. (NPI 1104008432) is an individual counselor in Tularosa, New Mexico and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1104008432
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. MIRANDA DAWN ANTONIOCredential: A.A.
Location Address253 PECOS RDTularosa, NM 88352-9666
Mailing Address253 Pecos RdTularosa, NM 88352-9666 · (505) 379-4838
Phone(505) 379-4838
Sole ProprietorYes
Enumeration DateNovember 28, 2007
✔ NPI 1104008432 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.

253 PECOS RD, Tularosa, NM 88352
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Frequently Asked Questions

What is Miranda Antonio's NPI number?

The NPI number assigned to this healthcare provider is 1104008432, enumerated as an "individual" on November 28, 2007.

Where is the provider located?

The provider is located at 253 PECOS RD TULAROSA, NM 88352 and the phone number is (505) 379-4838.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.