Healthcare Provider Details
I. General information
NPI: 1760056030
Provider Name (Legal Business Name): CASA DE LUZ COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1990 E LOHMAN AVE
LAS CRUCES NM
88001-3172
US
IV. Provider business mailing address
1990 E LOHMAN AVE STE 29
LAS CRUCES NM
88001-3191
US
V. Phone/Fax
- Phone: 573-323-0680
- Fax:
- Phone: 951-205-3484
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCES
M.
THOMASLEE
Title or Position: OWNER
Credential: LMFT
Phone: 575-323-0680