Healthcare Provider Details

I. General information

NPI: 1285160036
Provider Name (Legal Business Name): DANISHA CARIDAD BARO ED.M., M.A., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 N ROADRUNNER PKWY APT 4705
LAS CRUCES NM
88011-8146
US

IV. Provider business mailing address

2775 N ROADRUNNER PKWY APT 4705
LAS CRUCES NM
88011-8146
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-6805
  • Fax:
Mailing address:
  • Phone: 347-292-7366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number83921
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009520
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: