Provider Demographics
NPI:1588998710
Name:G. ANN REMICK-BARLOW AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:G. ANN REMICK-BARLOW AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:G.
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REMICK-BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-526-6040
Mailing Address - Street 1:2027 WESTWIND RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-4536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2027 WESTWIND RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4536
Practice Address - Country:US
Practice Address - Phone:575-526-6040
Practice Address - Fax:575-523-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS195881041C0700X
TX000914039956106H00000X
NMI25601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000F4405Medicaid