LEAH BEVILACQUA
NPI 1437571304
Counselor - Professional in Taos, NM

Active since January 13, 2014
522 PASEO PUEBLO NORTE, UNIT D, TAOS, NM 87571(575) 252-4766 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About LEAH BEVILACQUA

This page provides the complete NPI Profile along with additional information for Leah Bevilacqua, a provider established in Taos, New Mexico with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1437571304 assigned on January 2014. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1437571304 Verify this NPI
Provider Name
LEAH BEVILACQUA
Gender
Female
Entity Type
Individual
Location Address
522 PASEO PUEBLO NORTE UNIT D TAOS, NM 87571
Location Phone
(575) 252-4766
Mailing Address
PO BOX 11 EL PRADO, NM 87529
Mailing Phone
(575) 751-7552
Is Sole Proprietor?
No
Enumeration Date
01-13-2014
Last Update Date
07-12-2024
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Location Map

Secondary Locations

  • 413 Sipapu St
    Taos, NM 87571
    (575) 751-7552

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437571304, enumerated as an "individual" on January 13, 2014.

The provider is located at 522 PASEO PUEBLO NORTE UNIT D TAOS, NM 87571 and the phone number is (575) 252-4766.

Counselor with taxonomy code 101YP2500X and a focus in Professional.