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A Place Of Healing LLC

Counselor, Professional in Las Cruces, NM. Organization (NPI-2).

NPI number1912316308
StatusActive
Last updated in NPPESAug 11, 2014

Details

NPI
1912316308
Entity type
Organization (NPI-2)
Legal business name
A Place Of Healing LLC
Organization subpart
No
Enumeration date
Aug 11, 2014
Last updated
Aug 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional0116921NMYes

Practice location

121 Wyatt Dr Ste 5
Las Cruces, NM 88005-2960

Phone 575-644-9209 · Fax 575-647-5050

Mailing address

5065 Comanche Trl
Las Cruces, NM 88012-7376

Phone 575-644-9209 · Fax 575-647-5050

Authorized official

Amy Lyn Trevino
Provider/Operator
57546449209

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