| Ms Emily Jane Fleming, LPCC | |
|
2904 Sudderth Dr, Ruidoso, NM 88345 | |
| (575) 491-3300 | |
| (844) 876-6786 |
| Full Name | Ms Emily Jane Fleming |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2904 Sudderth Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013288208 | NPI | - | NPPES |
| 1770941486 | Other | NM | GROUP NPI |
| 23700386 | Medicaid | NM | |
| 18677037 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0177801 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0145681 (New Mexico) | Primary |
| Entity Name | Sierra Blanca Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770941486 PECOS PAC ID: 3577995760 Enrollment ID: O20191108000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Emily Jane Fleming, LPCC 2904 Sudderth Dr, Ruidoso, NM 88345-6338 Ph: (575) 491-3300 | Ms Emily Jane Fleming, LPCC 2904 Sudderth Dr, Ruidoso, NM 88345 Ph: (575) 491-3300 |
Brandi Y Littleton, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Porr Dr, Ruidoso, NM 88345 Phone: 575-630-0571 | |
Yasna Quiveors, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2904 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-491-3300 | |
Ms. Elizabeth Merriken Bryant, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1096 Mechem Dr, Suite 217, Ruidoso, NM 88345 Phone: 505-937-4349 Fax: 505-257-3910 | |
Anne S Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Porr Dr, Ruidoso, NM 88345 Phone: 575-630-0571 | |
Melanie M Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Porr Dr, Ruidoso, NM 88345 Phone: 575-630-0571 Fax: 575-630-0574 | |
Barbara Birdsong, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-5038 Fax: 505-257-2312 |