MY HEALING SPACE (NPI# 1073682357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073682357 |
| Entity Type | Organization |
| Organization Name | MY HEALING SPACE |
| Other Organization Name | MY HEALING SPACE |
| Practice Address |
302 W Griggs #9 Las Cruces NM 88001 |
| Mailing Address |
4500 Gerald Dr Las Cruces NM 88007 |
| Practice Telephone | 5056446457 |
| Practice Fax Number | 5056478922 |
| Mailing Telephone | 5056446457 |
| Mailing Fax Number | 5056478922 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MR. LOUIE C ATENCIO (THERAPIST OWNER) |
| Authorized Official Telephone | 5056440399 |
| Authorized Official Credential | LMHC LADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 0070621 | NM | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 0099031 | NM | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 4313 | NM | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 0100821 | NM | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | 03 067732 00 7 | NM | Agencies |
| Y | 101Y00000X | Counselor | I4400 | NM | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| My Healing Space | Doing Business As Name - Organization |
| Street Address |
302 W GRIGGS #9 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761640 | Erycka Mikkal Sanchez | Counselor | 755 S Telshor Blvd Ste 203t, Las Cruces, NM 88011-8679 | 2020-08-19 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1952850455 | Dona Ana Mental Health LLC | Counselor | 1040 Marilissa Ln, Las Cruces, NM 88005-3815 | 2016-09-25 |
| 1073932117 | Cassandra M. Kester | Counselor | 1800 Avenida De Mesilla Ste A, Las Cruces, NM 88005-3971 | 2014-04-15 |
| 1447590013 | Consuelo V. De Leon | Counselor | 1401 S Don Roser Dr Ste F1, Las Cruces, NM 88011-4577 | 2013-02-19 |
| 1528338217 | Francisco Alonzo | Counselor | 2205 S Main St Ste A, Las Cruces, NM 88005-3113 | 2012-01-11 |
| 1437437514 | Gila Behavioral Health Services | Counselor | 2700 Custer Way, Las Cruces, NM 88011-9071 | 2011-07-24 |
| 1174811038 | Erin N Kelly | Counselor | 2205-a S Main, Las Cruces, NM 88005 | 2011-07-13 |
| 1326332594 | Megan Corine Delaney | Counselor | 2205a Main St, Las Cruces, NM 88005 | 2011-06-06 |
| 1588956569 | Nicole Renee Telles | Counselor | 2205a Main Street, Las Cruces, NM 88005 | 2011-05-09 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.