Organization
DESTINO BELLA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE GLORIA SANCHEZ (OWNER)
(575) 777-4681
Entity
Organization
Contact information
Practice address
2457 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 777-4681
(575) 800-0344
Mailing address
2457 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 777-4681
(575) 800-0344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28909585
—
NM
01
—
413154YRND
MEDICARE
NM
Enumeration date
04/27/2020
Last updated
05/09/2026
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