Edward G. Kruis, Lpcc

LBN: On Wings Like Eagles, Llc
Edward G. Kruis, Lpcc is an health care organization with primary practice located at 1445 Pecos , Las Cruces NM 88005. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. On Wings Like Eagles, Llc can be contacted via phone (575) 650-0071, or through Kruis, Edward G via phone (575) 650-0071.

Contact Information

Primary practice address
1445 Pecos Las Cruces NM 88005
Fax:
Website:
Authorized official contact:
Name: Kruis, Edward G LPCC

Health care specialties

Profile Details

NPI number 1245403807
LBN Legal business name On Wings Like Eagles, Llc
DBA Doing business as Edward G. Kruis, Lpcc
Authorized official Kruis, Edward G LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2008
Last updated Apr 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245403807 NPPES
New Mexico MEDICAID 94876860

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