Healthcare Provider Details

I. General information

NPI: 1205280153
Provider Name (Legal Business Name): TRUE NORTH COUNSELING AND WELLNESS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1083 9TH ST
LAS CRUCES NM
88005-2306
US

IV. Provider business mailing address

PO BOX 3273
LAS CRUCES NM
88003-3273
US

V. Phone/Fax

Practice location:
  • Phone: 505-404-5741
  • Fax: 915-833-1951
Mailing address:
  • Phone: 505-404-5741
  • Fax: 915-833-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNM

VIII. Authorized Official

Name: LUCIA S GADNEY
Title or Position: OWNER
Credential: LPC-S, NCC
Phone: 505-404-5741