Healthcare Provider Details

I. General information

NPI: 1275448706
Provider Name (Legal Business Name): INNER TRUTH COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 N DATE ST STE 138
TRUTH OR CONSEQUENCES NM
87901-3701
US

IV. Provider business mailing address

1902 N DATE ST STE 138
TRUTH OR CONSEQUENCES NM
87901-3701
US

V. Phone/Fax

Practice location:
  • Phone: 317-720-1021
  • Fax:
Mailing address:
  • Phone: 317-720-1021
  • Fax: 317-720-1021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALISON RAE PHILLIPS
Title or Position: OWNER
Credential: LCSW
Phone: 317-720-1021