ON WINGS LIKE EAGLES LLC NPI 1245403807

NPI Information

NPI: 1245403807
Provider Name: ON WINGS LIKE EAGLES, LLC
Classification: Counselor - 101YP2500X
Specialization: Professional
Entity Type: Organization
Former Legal Business Name: EDWARD G. KRUIS, LPCC
Address: 1445 PECOS
LAS CRUCES, NM
ZIP 88005
Phone: (575) 650-0071

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NPI Details

ON WINGS LIKE EAGLES, LLC is a professional counselor in Las Cruces, NM. ON WINGS LIKE EAGLES, LLC NPI is 1245403807. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Edward G. Kruis, Lpcc.

The provider's business location address is:

1445 PECOS
LAS CRUCES, NM
ZIP 88005
Phone: (575) 650-0071

The provider's authorized official is Edward G Kruis .
The authorized official title is Owner and has the following contact phone number (575) 650-0071.

The enumeration date for this NPI number is 4/3/2008 and was last updated on 4/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0106801	NEW MEXICO	No
2	101YP2500X	Counselor	Professional	0078221	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	94876860	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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