Provider Demographics
NPI:1437021193
Name:SOUTHWEST FAMILY GUIDENCE
Entity type:Organization
Organization Name:SOUTHWEST FAMILY GUIDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MST
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-679-7807
Mailing Address - Street 1:755 SOUTH TELSHORE BLVD
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011
Mailing Address - Country:US
Mailing Address - Phone:575-524-6820
Mailing Address - Fax:
Practice Address - Street 1:755 SOUTH TELSHORE BLVD
Practice Address - Street 2:SUITE 201B
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011
Practice Address - Country:US
Practice Address - Phone:575-524-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty