NPI Code Details Logo

NPI 1821979360

NPI 1821979360 : OPEN SKY ART THERAPY & COUNSELING LLC : SANTA FE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1821979360
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OPEN SKY ART THERAPY & COUNSELING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/10/2025
-----------------------------------------------------
    Last Update Date     |    09/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1121 PASEO CORAZON 
-----------------------------------------------------
    City                 |    SANTA FE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87507-3636
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-300-1920
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1121 PASEO CORAZON 
-----------------------------------------------------
    City                 |    SANTA FE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87507-3636
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-300-1920
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     DEBORAH KATHERINE HALL 
-----------------------------------------------------
    Credential           |    LPCC & LPAT
-----------------------------------------------------
    Telephone            |    270-300-1920
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    221700000X
-----------------------------------------------------
    Taxonomy Name        |    Art Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.