Healthcare Provider Details
I. General information
NPI: 1396693305
Provider Name (Legal Business Name): NEW LEAF THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4537 RED MOUNTAIN CIR
LAS CRUCES NM
88012-5122
US
IV. Provider business mailing address
4537 RED MOUNTAIN CIR
LAS CRUCES NM
88012-5122
US
V. Phone/Fax
- Phone: 575-805-7844
- Fax:
- Phone: 575-805-7844
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABRINA
MARIA
CARTER
Title or Position: OWNER
Credential: LCSW
Phone: 575-805-7844