MEDICARE: HEALINGSOLS WELLNESS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker
4	106H00000X	Marriage & Family Therapist
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316871924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALINGSOLS WELLNESS SERVICES LLC

Provider Business Mailing Address
First Line	:	3650 MORNING STAR DR UNIT 3305
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-1779
Country	:	US
Telephone Number	:	757-478-0901
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 MORNING STAR DR UNIT 3305
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-1779
Country	:	US
Telephone Number	:	757-478-0901
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	SAYYID STANFORD
Credential	:	LCSW
Telephone Number	:	757-478-0901

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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