Healthcare Provider Details

I. General information

NPI: 1689592446
Provider Name (Legal Business Name): ARACELI DURAN LSAA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S GOLD AVE
DEMING NM
88030-3704
US

IV. Provider business mailing address

1412 S SANTA CATALINA ST
DEMING NM
88030-5432
US

V. Phone/Fax

Practice location:
  • Phone: 575-652-0710
  • Fax:
Mailing address:
  • Phone: 575-652-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCTB-2026-0566
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCTB-2026-0566
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: