Healthcare Provider Details

I. General information

NPI: 1346734738
Provider Name (Legal Business Name): DORA CARO LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W LAS CRUCES AVE
LAS CRUCES NM
88005-1804
US

IV. Provider business mailing address

210 W LAS CRUCES AVE
LAS CRUCES NM
88005-1804
US

V. Phone/Fax

Practice location:
  • Phone: 575-249-0390
  • Fax: 575-525-3703
Mailing address:
  • Phone: 575-249-0390
  • Fax: 575-525-3703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0215591
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93825
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: