Healthcare Provider Details
I. General information
NPI: 1558270397
Provider Name (Legal Business Name): STREAMS IN THE DESERT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6414 OERSTED RD NE
RIO RANCHO NM
87144-6582
US
IV. Provider business mailing address
6414 OERSTED RD NE
RIO RANCHO NM
87144-6582
US
V. Phone/Fax
- Phone: 773-307-9424
- Fax:
- Phone: 773-307-9424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAMMY
OBERG DE LA GARZA
Title or Position: OWNER
Credential: LPCC, NCC, MA
Phone: 773-307-9424