Organization
MY HEALING SPACE
Active
Other names
My Healing Space
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIE C ATENCIO LMHC LADAC (THERAPIST OWNER)
(505) 644-0399
Entity
Organization
Contact information
Practice address
302 W GRIGGS, #9, LAS CRUCES, NM 88001
(505) 644-6457
(505) 647-8922
Mailing address
4500 GERALD DR, LAS CRUCES, NM 88007
(505) 644-6457
(505) 647-8922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0070621
NM
101Y00000X
Counselor
0099031
NM
101Y00000X
Counselor
0100821
NM
101Y00000X
Counselor
4313
NM
101Y00000X
Counselor
Primary
I4400
NM
251S00000X
Community/Behavioral Health Agency
03 067732 00 7
NM
Other
Enumeration date
11/08/2006
Last updated
07/15/2008
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