Wide Open Counseling Llc
LBN: Wide Open Counseling Llc
Wide Open Counseling Llc is an health care organization with primary practice located at 1685 S Don Roser Dr Ste D , Las Cruces NM 88011-4586. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Wide Open Counseling Llc can be contacted via phone (575) 805-6288, or through Mccleod, Darnell E via phone (915) 777-8118.
Contact Information
Primary practice address
1685 S Don Roser Dr Ste D
Las Cruces NM 88011-4586
Phone: (575) 805-6288
Fax:
Website:
Authorized official contact:
Name: Mccleod, Darnell E Licensed Clinical Social Worker (LCSW)
Phone: (915) 777-8118
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1922687573 |
|---|---|
| LBN Legal business name | Wide Open Counseling Llc |
| DBA Doing business as | |
| Authorized official | Mccleod, Darnell E Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2021 |
| Last updated | Apr 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922687573 | NPPES |
| New Mexico | Other | X-11858 | PROVISIONAL CLINICAL SOCIAL WORKER |
| New Mexico | Other | 1851979256 | PROVISIONAL CLINICAL SOCIAL WORKER |
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