MEDICARE: INQUISITIVE PSYCHE COUNSELING 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457054264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INQUISITIVE PSYCHE COUNSELING LLC

Provider Business Mailing Address
First Line	:	PO BOX 1050
Second Line	:
City	:	FAIRACRES
State	:	NM
Zip	:	88033-1050
Country	:	US
Telephone Number	:	575-339-5534
Fax Number	:

Provider Business Practice Location Address
First Line	:	2881 SAN LORENZO CT
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-1969
Country	:	US
Telephone Number	:	575-339-5534
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	MARTHA FLORES
Credential	:
Telephone Number	:	575-639-1534

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	02/12/2025

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