| NPI | 1558049080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ZEMBAS Lpcc/Owner 575-631-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2025-07-10 |