My Healing Space

NPI #1073682357 in Las Cruces, New Mexico

Provider Information

NPI Number: 1073682357
Entity Type: Organization
Organization Name: My Healing Space
Primary Specialty: Counselor
Enumeration Date: Nov 8, 2006
Last Updated: Jul 15, 2008

Practice Location

Address: 302 W GRIGGS
Address 2: #9
City: Las Cruces
State: New Mexico
ZIP Code: 88001
Phone: (505) 644-6457

Authorized Official

Name: MR. LOUIE C ATENCIO, LMHC LADAC
Title: THERAPIST OWNER
Phone: (505) 644-0399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Community/Behavioral Health	251S00000X

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