Healthcare Provider Details

I. General information

NPI: 1417860503
Provider Name (Legal Business Name): HEAL AND BLOOM THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 TUSCAN HILLS LN
LAS CRUCES NM
88011-4257
US

IV. Provider business mailing address

2550 TUSCAN HILLS LN
LAS CRUCES NM
88011-4257
US

V. Phone/Fax

Practice location:
  • Phone: 575-571-3853
  • Fax:
Mailing address:
  • Phone: 575-571-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SHARON LYNN ROBLES
Title or Position: THERAPIST
Credential: LCSW
Phone: 575-571-3853