De La Luz Creative Guidance LLC
NPI #1982321311 in Mimbres, New Mexico
Provider Information
- NPI Number
- 1982321311
- Entity Type
- Organization
- Organization Name
- De La Luz Creative Guidance LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Oct 26, 2022
Practice Location
- Address
- 45 KIVA RD
- City
- Mimbres
- State
- New Mexico
- ZIP Code
- 88049
- Phone
- (575) 740-1562
Authorized Official
- Name
- FERNANDO ORTIZ
- Title
- CREDENTIALING MANAGER
- Phone
- (575) 707-8150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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