Healthcare Provider Details

I. General information

NPI: 1700722436
Provider Name (Legal Business Name): SURRENDERED SOULS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 MAJESTIC RDG
LAS CRUCES NM
88011-4637
US

IV. Provider business mailing address

3222 MERCURY LN
LAS CRUCES NM
88012-7736
US

V. Phone/Fax

Practice location:
  • Phone: 717-688-1406
  • Fax:
Mailing address:
  • Phone: 717-688-1406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHERRI RHOTEN
Title or Position: FOUNDER / OWNER
Credential: CPSW, CFPSW, CCSS
Phone: 717-688-1406