| Desert Sky Counseling Services Llc | |
|
205 W Boutz Rd Bldg. 8 Suite 1 Las Cruces NM 88005-3262 | |
| (575) 521-4555 | |
| (575) 521-1169 |
| Full Name | Desert Sky Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 205 W Boutz Rd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Stephanie R Lynch (OWNER) |
| Authorized Official Contact | 5755214555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sky Counseling Services Llc 205 W Boutz Rd Bldg. 8 Ste. 1 Las Cruces NM 88005-3262 Ph: (575) 521-4555 | Desert Sky Counseling Services Llc 205 W Boutz Rd Bldg. 8 Suite 1 Las Cruces NM 88005-3262 Ph: (575) 521-4555 |
| NPI Number | 1073702551 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/09/2013 |
| Medicare PECOS PAC ID | 6709969074 |
|---|---|
| Medicare Enrollment ID | O20080208000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073702551 | NPI | - | NPPES |
| 92875246 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Russell Anthony Schweiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659335990 PECOS PAC ID: 2264499532 Enrollment ID: I20041217000777 |
| Provider Name | Stephanie R Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548473325 PECOS PAC ID: 5496840662 Enrollment ID: I20071003000109 |
| Provider Name | Karen M Fee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689868614 PECOS PAC ID: 6103007166 Enrollment ID: I20110223000969 |
| Provider Name | Trinette Radasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922234210 PECOS PAC ID: 2567780489 Enrollment ID: I20150406000202 |
| Provider Name | Denise R Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925509 PECOS PAC ID: 8729487426 Enrollment ID: I20210601000490 |
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