Healthcare Provider Details

I. General information

NPI: 1184311003
Provider Name (Legal Business Name): DESERT HOPE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N COCHITI AVE
FARMINGTON NM
87401-4237
US

IV. Provider business mailing address

PO BOX 1554
FARMINGTON NM
87499-1554
US

V. Phone/Fax

Practice location:
  • Phone: 505-592-3055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SYLVIA MARQUEZ
Title or Position: OWNER/THERAPIST
Credential: LCSW, LADAC
Phone: 505-592-3055