Provider Demographics
NPI:1962521922
Name:ABEYTA, ELENA (LMFT)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:ABEYTA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 70202
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87197-0202
Mailing Address - Country:US
Mailing Address - Phone:818-397-4072
Mailing Address - Fax:
Practice Address - Street 1:1509 PASEO DEL PUEBLO SUT
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571
Practice Address - Country:US
Practice Address - Phone:575-758-7263
Practice Address - Fax:575-758-7176
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 225400000X
CA101YA0400X
NM0174031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA091613OtherC.A.T.C.