Healthcare Provider Details

I. General information

NPI: 1821979360
Provider Name (Legal Business Name): OPEN SKY ART THERAPY & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 PASEO CORAZON
SANTA FE NM
87507-3636
US

IV. Provider business mailing address

1121 PASEO CORAZON
SANTA FE NM
87507-3636
US

V. Phone/Fax

Practice location:
  • Phone: 270-300-1920
  • Fax:
Mailing address:
  • Phone: 270-300-1920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH KATHERINE HALL
Title or Position: OWNER
Credential: LPCC & LPAT
Phone: 270-300-1920