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

MS. Elouise Blackgoat, COUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043415854

MS. Elouise Blackgoat, COUNSELOR is an Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico. Licensed in Arizona and New Mexico. Registered with an NPI since 2007.

Licensed in
AZ, NM
In the registry since
2007
Specialties on file
3

Practice location Address checks out

300 W Nizhoni Blvd Ste A
Gallup, NM 87301
Phone: (505) 722-9470
Fax: (505) 722-9570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0122361 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0122361 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11440 (AZ)

Record details

NPI number1043415854
Entity typeIndividual (Type 1)
GenderFemale
Credentials COUNSELOR
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESJune 28, 2018

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