Healthcare Provider Details

I. General information

NPI: 1922940535
Provider Name (Legal Business Name): SOUTHWEST PERINATAL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 EL TANQUE VIEJO
SANTA FE NM
87540-9679
US

IV. Provider business mailing address

4 EL TANQUE VIEJO
SANTA FE NM
87540-9679
US

V. Phone/Fax

Practice location:
  • Phone: 505-750-0149
  • Fax:
Mailing address:
  • Phone: 505-750-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON CLAIRE DAVIS
Title or Position: OWNER/MANAGER
Credential: MS, LPC, PHD
Phone: 505-603-8959