Healthcare Provider Details

I. General information

NPI: 1174468672
Provider Name (Legal Business Name): FERRIS THERAPY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HOLIDAY AVE TRLR 215
LAS CRUCES NM
88005-8107
US

IV. Provider business mailing address

2200 HOLIDAY AVE TRLR 215
LAS CRUCES NM
88005-8107
US

V. Phone/Fax

Practice location:
  • Phone: 575-621-3769
  • Fax:
Mailing address:
  • Phone: 575-621-3769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASILEE J FERRIS
Title or Position: THERAPIST
Credential: LCSW
Phone: 575-621-3769