Provider Demographics
NPI:1952850455
Name:DONA ANA MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:DONA ANA MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:575-888-7467
Mailing Address - Street 1:PO BOX 13022
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88013-3022
Mailing Address - Country:US
Mailing Address - Phone:575-888-7467
Mailing Address - Fax:575-233-6324
Practice Address - Street 1:1800 AVENIDA DE MESILLA STE D
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3920
Practice Address - Country:US
Practice Address - Phone:575-888-7467
Practice Address - Fax:575-233-6324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0183471101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty