Healthcare Provider Details

I. General information

NPI: 1598616062
Provider Name (Legal Business Name): ESPERANZA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 CALLE COLIBRI
SANTA FE NM
87505-6339
US

IV. Provider business mailing address

299 SHADOW MOUNTAIN DR STE C
EL PASO TX
79912-4748
US

V. Phone/Fax

Practice location:
  • Phone: 915-519-0088
  • Fax:
Mailing address:
  • Phone: 915-519-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES HENEGHAN HENEGHAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 915-519-0088