A PLACE OF HEALING LLC (NPI# 1912316308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912316308 |
| Entity Type | Organization |
| Organization Name | A PLACE OF HEALING LLC |
| Practice Address |
121 Wyatt Dr Ste 5 Las Cruces NM 88005-2960 |
| Mailing Address |
5065 Comanche Trl Las Cruces NM 88012-7376 |
| Practice Telephone | 5756449209 |
| Practice Fax Number | 5756475050 |
| Mailing Telephone | 5756449209 |
| Mailing Fax Number | 5756475050 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | AMY LYN TREVINO (PROVIDER/OPERATOR) |
| Authorized Official Telephone | 57546449209 |
| Authorized Official Credential | ED.S, LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0116921 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | INDIVIDUAL NPI# | 1477626299 | 01 |
| NM | 04932862 | 05 |
| Street Address |
121 WYATT DR STE 5 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868882 | Brianna Brush | Counselor | 1945 Amis Ave, Las Cruces, NM 88005-1649 | 2020-07-10 |
| 1831675602 | Matt Charles Ladish | Counselor | 4032 Calle De Estrellas, Las Cruces, NM 88012-7639 | 2018-07-16 |
| 1205280153 | True North Counseling and Wellness Incorporated | Counselor | 1083 9th St, Las Cruces, NM 88005-2306 | 2016-04-18 |
| 1992170294 | Christopher Maurer | Counselor | 1902 Westwind Rd, Las Cruces, NM 88007-5575 | 2015-12-11 |
| 1275938094 | Dawn Rachelle Goodheart | Counselor | 1161 Mall Dr Ste C, Las Cruces, NM 88011-8193 | 2014-10-23 |
| 1285055855 | Isabelle Dominguez | Counselor | 1401 N Alameda Blvd, Las Cruces, NM 88005-1725 | 2013-12-26 |
| 1184065708 | Beverly Tenorio | Counselor | 2832 Cloudcroft Cir, Las Cruces, NM 88011-5230 | 2013-07-11 |
| 1255670162 | Rebekah M Martinez | Counselor | 138 W Lucero Ave, Las Cruces, NM 88005-1843 | 2013-02-12 |
| 1649523986 | Robin Taylor Pfaff | Counselor | 3050 N Roadrunner Pkwy Ste A, Las Cruces, NM 88011-0846 | 2012-10-24 |
| 1467704569 | Andrea Hawkins | Counselor | 5561 Gobi Ln, Las Cruces, NM 88011-7249 | 2012-10-12 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on A PLACE OF HEALING LLC.
| 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.