Organization · NPI-2

Celestial Springs Counseling, INC.

Social Worker, Clinical · Rio Rancho, NM

NPI number1801347364

StatusActive

Last updated in NPPESOct 19, 2016

Details

NPI: 1801347364
Entity type: Organization (NPI-2)
Legal business name: Celestial Springs Counseling, INC.
Organization subpart: No
Enumeration date: Oct 19, 2016
Last updated: Oct 19, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YP1600X	Counselor, Pastoral	–	–
101YP2500X	Counselor, Professional	–	–
106H00000X	Marriage & Family Therapist	–	–
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	–	–
164W00000X	Licensed Practical Nurse	–	–
374J00000X	Doula	–	–

Practice location

12 Unser Blvd Se
Suite C
Rio Rancho, NM 87124-6300

Phone 575-770-0372

Mailing address

12 Unser Blvd Se
Suite C
Rio Rancho, NM 87124-6300

Phone 575-770-0372

Authorized official

Joseph Gerard Lukas-Drouillard
Board President/Psychotherapist
4196981482

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.