Healthcare Provider Details

I. General information

NPI: 1104767946
Provider Name (Legal Business Name): DESERT RESILIENCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

219B HAOZOUS RD
SANTA FE NM
87508-8060
US

IV. Provider business mailing address

219B HAOZOUS RD
SANTA FE NM
87508-8060
US

V. Phone/Fax

Practice location:
  • Phone: 505-395-8104
  • Fax:
Mailing address:
  • Phone:
  • 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: DANIELLE SIMMONS
Title or Position: SOLE MEMBER
Credential: LPCC, LPAT
Phone: 505-395-8104