# DEZI GOLDEN THERAPIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770048092
- **Authorized official:** MRS. DESIREE GOLDEN RMTI-LMMT-CLC (LIC MED MSSG THERAPIST/LIFE COACH)
- **Authorized official phone:** (575) 932-9741

## Contact information

- **Practice address:** 4310 CANTERRA ARC, LAS CRUCES, NM 88011-1805
- **Practice address phone:** (575) 932-9741
- **Mailing address:** 4310 CANTERRA ARC, DBA/DEZI GOLDEN THERAPIES, LLC, LAS CRUCES, NM 88011-1805
- **Mailing address phone:** (575) 932-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 172M00000X | Mechanotherapist | — | NULL | — |
| 172M00000X | Mechanotherapist | — | — | — |
| 172P00000X | Naprapath | — | NULL | — |
| 172P00000X | Naprapath | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 173C00000X | Reflexologist | — | NULL | — |
| 173C00000X | Reflexologist | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 221700000X | Art Therapist | — | NULL | — |
| 221700000X | Art Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 02/01/2019
- **Last updated:** 02/01/2019