My Healing Space

Primary specialty

CounselorTaxonomy code 101Y00000X

License

I4400 Issued in NM

Legal business name

MY HEALING SPACE

Doing business as

My Healing Space

Practice address

302 W Griggs
#9
Las Cruces, NM 88001

Phone

(505) 644-6457

Fax

(505) 647-8922

NPI assigned

Nov 8, 2006

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Louie C Atencio, LMHC LADAC

Title

Therapist Owner

Phone

(505) 644-0399

Specialties & licenses 6

Addresses

Other names 1

• My Healing Space Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1073682357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 GERALD DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88007",
            "telephone_number": "505-644-6457",
            "fax_number": "505-647-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GRIGGS",
            "address_2": "#9",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "505-644-6457",
            "fax_number": "505-647-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALING SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST OWNER",
        "authorized_official_telephone_number": "505-644-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC LADAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0070621",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0099031",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "4313",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0100821",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "I4400",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "03 067732 00 7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Healing Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Murray, OD
• Giovanna Musitano
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• Reagan Myers
• Jessica Nicole Myhre, DO
• Christopher Myrda, PHYSICAL THERAPIST
• Myride LLC

• Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.