Provider Demographics
NPI:1215097555
Name:LENWELL, JOSIE MARIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:MARIE
Last Name:LENWELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 COTTONTAIL RD
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6692
Mailing Address - Country:US
Mailing Address - Phone:575-770-5812
Mailing Address - Fax:
Practice Address - Street 1:3006 COTTONTAIL RD
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6692
Practice Address - Country:US
Practice Address - Phone:575-770-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLMFT #0136101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health