MEDICARE: COLLECTIVE HEALING STUDIO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780515064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLECTIVE HEALING STUDIO, LLC

Provider Business Mailing Address
First Line	:	PO BOX 812
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-0812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 N MIRANDA ST
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2058
Country	:	US
Telephone Number	:	575-567-8576
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	CARRIGEN CAIN
Credential	:	LPCC
Telephone Number	:	575-567-8576

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

Similar Medicare Providers

1831779420 — MICHELLE RODRIGUEZ
Practice Location Address:

1945 E MULBERRY AVE
LAS CRUCES, NM
88001-2058

Practice Phone: 214-466-9316
Practice Fax:

1477821080 — ALICIA ENRIQUEZ
Practice Location Address:

4006 CHAMPAGNE WOOD DR
NORTH LAS VEGAS, NV
89031-2058

Practice Phone: 702-807-9274
Practice Fax:

1366993966 — CHOVONEY WHITE
Practice Location Address:

5800 W LAKE MEAD BLVD APT 2058
LAS VEGAS, NV
89108-6220

Practice Phone: 702-291-7121
Practice Fax:

1831620269 — MRS. DAPHNE ANTILLON DO
Practice Location Address:

8321 W SAHARA AVE APT 2058
LAS VEGAS, NV
89117-1885

Practice Phone: 626-862-4201
Practice Fax:

1720594567 — EDNA L COLLIER
Practice Location Address:

2750 S DURANGO DR BLDG 5-2058
LAS VEGAS, NV
89117-2636

Practice Phone: 702-969-3861
Practice Fax:

1811485691 — GEORGE ALAN WHEELER
Practice Location Address:

2750 S DURANGO DR APT 2058
LAS VEGAS, NV
89117-2645

Practice Phone: 702-613-2292
Practice Fax:

Directions to “COLLECTIVE HEALING STUDIO, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.