NPI 1114763422

Madison Paris Wimbish, CPSWCCSSLSAA

Practitioner Peer Specialist Farmington, NM

Practice location

Address: 1001 W Broadway, Farmington, NM 87401-5638
Phone: (505) 327-4796

Registered specialties (3)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 1750 (NM)

Other Peer Specialist providers in New Mexico →

Community Health Worker

Other Service Providers Taxonomy 172V00000X Licence 07262024 (NM)

Other Community Health Worker providers in New Mexico →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CTB-2026-0011 (NM)

Other Counselor providers in New Mexico →

Registry record

NPI: 1114763422
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2024
Record last updated: 8 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.