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

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

Practice location Address checks out

1110 E High St
Tucumcari, NM 88401-2510
Phone: (575) 461-4411
Fax: (575) 461-4102
Show map & directions

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
Mailing address10228 State Highway 104, Tucumcari, NM 88401-9315

Other providers in Tucumcari