Provider Demographics
NPI:1821302464
Name:BEGAY, MARILYN GRACE (LMHC)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:GRACE
Last Name:BEGAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:GRACE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 ROAD 39431
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401
Mailing Address - Country:US
Mailing Address - Phone:505-728-9455
Mailing Address - Fax:
Practice Address - Street 1:1001 WEST BROADWAY STE D
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401
Practice Address - Country:US
Practice Address - Phone:505-729-9455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NMCMH0176971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor