Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beverly Lake

Individual provider Counselor · NPI 1790099117

Beverly Lake is a Counselor in Tucumcari, New Mexico. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

1110 E High St
Tucumcari, NM 88401-2510
Phone: (575) 461-4411
Fax: (575) 461-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1790099117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESJuly 27, 2010

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