Healthcare Provider Details

I. General information

NPI: 1720968829
Provider Name (Legal Business Name): YELENA SALKOWITZ PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N CAMPO ST
LAS CRUCES NM
88001-3433
US

IV. Provider business mailing address

730 LA VINA RD
ANTHONY NM
88021-8584
US

V. Phone/Fax

Practice location:
  • Phone: 609-320-9706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YELENA SALKOWITZ
Title or Position: COUNSELOR
Credential: PH.D., M.A.
Phone: 609-320-9706