Healthcare Provider Details

I. General information

NPI: 1952254815
Provider Name (Legal Business Name): GUIDING FEATHER OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 12TH ST
LAS VEGAS NM
87701-4005
US

IV. Provider business mailing address

622 12TH ST
LAS VEGAS NM
87701-4005
US

V. Phone/Fax

Practice location:
  • Phone: 505-718-8886
  • Fax:
Mailing address:
  • Phone: 505-718-8886
  • 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: YZETTA MARTINEZ
Title or Position: OWNER
Credential:
Phone: 505-718-8886