Life Quest Counseling, LLC
Social Worker, Clinical in Farmington, NM. Organization (NPI-2).
Details
- NPI
- 1417546367
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Quest Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
116 N Wall AveFarmington, NM 87401-6916
Phone 505-297-6616 · Fax 505-787-2411
Mailing address
Po Box 5522Farmington, NM 87499-5522
Phone 505-297-6166 · Fax 505-787-2411
Authorized official
Craig Spencer Hutton
Owner
5052976616
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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