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Organization

STAR RISING THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEISA SMITH LPCC (LPCC/ MENTAL HEALTH COUNSELOR)
(575) 425-5485
Entity
Organization

Contact information

Practice address
208 PASEO DEL PUEBLO SUR UNIT 204, TAOS, NM 87571-5974
(575) 425-5485
Mailing address
208 PASEO DEL PUEBLO SUR UNIT 204, TAOS, NM 87571-5974
(575) 425-5485

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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