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General NPI Number Information
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NPI Number | 1104767946
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Entity Type | Organization
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Legal Business Name | DESERT RESILIENCE COUNSELING LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 219B HAOZOUS RD
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City | SANTA FE
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State | NM
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Zip | 87508-8060
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Country | US
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Telephone | 505-395-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 219B HAOZOUS RD
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City | SANTA FE
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State | NM
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Zip | 87508-8060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DANIELLE SIMMONS
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Credential | LPCC, LPAT
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Telephone | 505-395-8104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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