Organization Name: | MY HEALING SPACE |
NPI Number: | 1073682357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIE C ATENCIO (THERAPIST OWNER) |
Mailing Address: | 302 W Griggs #9 Las Cruces |
State: | NM US |
Postal Code: | 88001 |
Phone Number: | 5056446457 |
Fax Number: | 5056478922 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0070621 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |