Provider Demographics
NPI:1891313185
Name:DELANEY, ELIZA (LPCC, ATR-BC)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LPCC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 ALTO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-2564
Mailing Address - Country:US
Mailing Address - Phone:405-818-5524
Mailing Address - Fax:
Practice Address - Street 1:404 BRUNN SCHOOL RD STE C
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1102
Practice Address - Country:US
Practice Address - Phone:505-234-6024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11903599-6004101YM0800X
20-402221700000X
NM2023-0750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist