Organization
DIRECT THERAPY SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE SANDOVAL (OFFICE MANAGER)
(575) 523-7243
Entity
Organization
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
(575) 525-5641
Mailing address
301 PERKINS DR STE C, SUITE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
Primary
—
NM
235Z00000X
Speech-Language Pathologist
—
NM
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04201736
—
NM
Enumeration date
08/29/2006
Last updated
01/24/2017
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