Healthcare Provider Details

I. General information

NPI: 1861329880
Provider Name (Legal Business Name): ELIZABETH MARIE FERRALES LSAA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N ALAMEDA BLVD
LAS CRUCES NM
88005-2590
US

IV. Provider business mailing address

303 N ALAMEDA BLVD
LAS CRUCES NM
88005-2590
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-0111
  • Fax: 575-571-4130
Mailing address:
  • Phone: 575-523-0111
  • Fax: 575-571-4130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCTB-2025-0884
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: