MEDICARE: NEW LEAF THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1396693305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	4537 RED MOUNTAIN CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-5122
Country	:	US
Telephone Number	:	575-805-7844
Fax Number	:

Provider Business Practice Location Address
First Line	:	4537 RED MOUNTAIN CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-5122
Country	:	US
Telephone Number	:	575-805-7844
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SABRINA MARIA CARTER
Credential	:	LCSW
Telephone Number	:	575-805-7844

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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