Organization
DESERT STAR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE GONZALEZ (EXECUTIVE DIRECTOR)
(915) 490-3116
Entity
Organization
Contact information
Practice address
550 N. PEYTON RD., STE. 105, EL PASO, TX 79928
(915) 490-3116
(915) 288-2681
Mailing address
550 N. PEYTON RD., STE. 105, EL PASO, TX 79928
(915) 490-3116
(915) 288-2681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/28/2019
Last updated
05/22/2024
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