Provider Demographics
NPI:1285160036
Name:BARO, DANISHA CARIDAD (EDM, MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DANISHA
Middle Name:CARIDAD
Last Name:BARO
Suffix:
Gender:F
Credentials:EDM, MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 N ROADRUNNER PKWY APT 4705
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8146
Mailing Address - Country:US
Mailing Address - Phone:347-292-7366
Mailing Address - Fax:
Practice Address - Street 1:2775 N ROADRUNNER PKWY APT 4705
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8146
Practice Address - Country:US
Practice Address - Phone:786-431-6805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83921101YM0800X
103TH0004X
NY009520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth