Provider Demographics
NPI:1679467906
Name:ENCHANTMENT THERAPY LLC
Entity type:Organization
Organization Name:ENCHANTMENT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:V
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:575-446-9883
Mailing Address - Street 1:1103 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-4248
Mailing Address - Country:US
Mailing Address - Phone:575-446-9883
Mailing Address - Fax:
Practice Address - Street 1:2729 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310
Practice Address - Country:US
Practice Address - Phone:575-446-9883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty