BEVERLY MICHAEL LISW
NPI 1336263656
Counselor - Mental Health in Grants, NM

Active since March 19, 2007
1109 MESA BLVD, SUITE D, GRANTS, NM 87020(505) 980-0886 Get Directions Write a Review

NPPES record last updated: November 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Michael Lisw NPPES

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

BEVERLY MICHAEL LISW (NPI 1336263656) is an individual mental health provider in Grants, New Mexico, licensed in New Mexico (I-06355) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1336263656
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY MICHAELCredential: LISW
Location Address1109 MESA BLVD, SUITE DGrants, NM 87020-3038
Mailing Address1109 Mesa Blvd, Suite DGrants, NM 87020-3038 · (505) 980-0886
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateNovember 17, 2007
NPI 1336263656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · I-06355
1109 MESA BLVD, Grants, NM 87020

Other Identifiers 1

Medicaid24331350NM

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1109 MESA BLVD, SUITE D
GRANTS, NM 87020
Counselor (Mental Health)
1109 MESA BLVD, SUITE D
GRANTS, NM 87020
Community/Behavioral Health
1109 MESA BLVD, SUITE D
GRANTS, NM 87020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Michael's NPI number?

The NPI number for Beverly Michael is 1336263656. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Beverly Michael located?

Beverly Michael practices at 1109 Mesa Blvd Suite D, Grants, NM 87020. The listed phone number is (505) 980-0886.

What is Beverly Michael's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beverly Michael was last updated on November 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.