Healthcare Provider Details

I. General information

NPI: 1265098198
Provider Name (Legal Business Name): KARLA EVELYN SOLIS-HOLGUIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 WYATT DR
LAS CRUCES NM
88005-2925
US

IV. Provider business mailing address

301 PERKINS DR STE B
LAS CRUCES NM
88005-3248
US

V. Phone/Fax

Practice location:
  • Phone: 575-652-3448
  • Fax:
Mailing address:
  • Phone: 575-526-6682
  • Fax: 575-523-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB20220077
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: