Provider Demographics
NPI:1366228819
Name:DESERT THERAPY CENTER, LLC
Entity type:Organization
Organization Name:DESERT THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, NCC
Authorized Official - Phone:703-350-1191
Mailing Address - Street 1:115 LOS NOGALES DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-7408
Mailing Address - Country:US
Mailing Address - Phone:703-350-1191
Mailing Address - Fax:703-350-1191
Practice Address - Street 1:115 LOS NOGALES DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-7408
Practice Address - Country:US
Practice Address - Phone:703-350-1191
Practice Address - Fax:703-350-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty