Healthcare Provider Details

I. General information

NPI: 1063347391
Provider Name (Legal Business Name): COTTONWOOD COUNSELING PLLC DBA DESERT PEAR PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 STOVER AVE SW
ALBUQUERQUE NM
87102-3769
US

IV. Provider business mailing address

1212 STOVER AVE SW
ALBUQUERQUE NM
87102-3769
US

V. Phone/Fax

Practice location:
  • Phone: 505-659-8099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANA REICHMAN
Title or Position: OWNER
Credential: LCSW
Phone: 505-659-8099