Desert Sky Family Therapy LLC
Counselor, Mental Health in Lubbock, TX. Organization (NPI-2).
NPI number1013761055
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1013761055
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Sky Family Therapy LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
5504 Wayne Ave Ste 109Lubbock, TX 79414-4137
Phone 806-853-7292
Mailing address
5504 Wayne Ave Ste 109Lubbock, TX 79414-4137
Phone 806-853-7292
Authorized official
Anna Brown
Clinic Director
8068537292
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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