Healthcare Provider Details

I. General information

NPI: 1457054264
Provider Name (Legal Business Name): INQUISITIVE PSYCHE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 SAN LORENZO CT
LAS CRUCES NM
88007-1969
US

IV. Provider business mailing address

PO BOX 1050
FAIRACRES NM
88033-1050
US

V. Phone/Fax

Practice location:
  • Phone: 575-339-5534
  • Fax:
Mailing address:
  • Phone: 575-339-5534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARTHA FLORES
Title or Position: CREDENTIALING
Credential:
Phone: 575-639-1534