Provider Demographics
NPI:1447687975
Name:ADKINS, DEYHLE R (LMSW)
Entity type:Individual
Prefix:MS
First Name:DEYHLE
Middle Name:R
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:MORA
Mailing Address - State:NM
Mailing Address - Zip Code:87732-1120
Mailing Address - Country:US
Mailing Address - Phone:575-387-5980
Mailing Address - Fax:
Practice Address - Street 1:449 COUNTY ROAD A011
Practice Address - Street 2:
Practice Address - City:MORA
Practice Address - State:NM
Practice Address - Zip Code:87732-1120
Practice Address - Country:US
Practice Address - Phone:575-387-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical