Provider Demographics
NPI:1730054172
Name:DISCIPLESHIP COUNSELING AND CONSULTING SERVICES LLC.
Entity type:Organization
Organization Name:DISCIPLESHIP COUNSELING AND CONSULTING SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:575-613-6952
Mailing Address - Street 1:PO BOX 3132
Mailing Address - Street 2:
Mailing Address - City:RANCHOS DE TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87557-3132
Mailing Address - Country:US
Mailing Address - Phone:575-342-1710
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE VISTA
Practice Address - Street 2:
Practice Address - City:RANCHOS DE TAOS
Practice Address - State:NM
Practice Address - Zip Code:87557
Practice Address - Country:US
Practice Address - Phone:575-613-6952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty