Provider Demographics
NPI:1023342128
Name:ARMENDARIZ, ERIKA (BHS)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ARMENDARIZ
Suffix:
Gender:F
Credentials:BHS
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:REZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1320 S. SOLANO
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001
Mailing Address - Country:US
Mailing Address - Phone:575-527-7900
Mailing Address - Fax:575-571-4872
Practice Address - Street 1:880 ANTHONY DRIVE STE 8A
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:NM
Practice Address - Zip Code:88021
Practice Address - Country:US
Practice Address - Phone:575-201-5134
Practice Address - Fax:575-201-5108
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid