Healthcare Provider Details
I. General information
NPI: 1669367983
Provider Name (Legal Business Name): CONTRINA E EILAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/09/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4736 MESITA ST
LAS CRUCES NM
88012-6308
US
IV. Provider business mailing address
4141 ROSEMEADE PKWY APT 2210
DALLAS TX
75287-2616
US
V. Phone/Fax
- Phone: 214-624-8310
- Fax:
- Phone: 214-624-8310
- Fax: 214-624-8310
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 85929 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: