CLEAR LAKE STUDIO, LLC
NPI 1003204702
Counselor in Las Cruces, NM

Active since January 03, 2015
1925 ANITA DR, LAS CRUCES, NM 88001(915) 345-5489(575) 541-3690 Get Directions Write a Review

NPPES record last updated: January 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clear Lake Studio, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR LAKE STUDIO, LLC (NPI 1003204702) is a healthcare organization registered as a counselor in Las Cruces, New Mexico and active in the NPI registry since January 2015. The organization lists Ann M Skirvin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003204702
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameCLEAR LAKE STUDIO, LLC
Location Address1925 ANITA DRLas Cruces, NM 88001-2027
Mailing Address1925 Anita DrLas Cruces, NM 88001-2027 · (915) 345-5489 · Fax (575) 541-3690
Fax(575) 541-3690
Organization SubpartNo
Authorized OfficialAnn M SkirvinOffice Manager · (915) 345-5489
Enumeration DateJanuary 3, 2015
NPI 1003204702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NM · 0150641
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1925 ANITA DR, Las Cruces, NM 88001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1925 ANITA DR
LAS CRUCES, NM 88001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Lake Studio, LLC's NPI number?

The NPI number for Clear Lake Studio, LLC is 1003204702. It was assigned to this organization in the NPPES registry on January 3, 2015.

Where is Clear Lake Studio, LLC located?

Clear Lake Studio, LLC is located at 1925 Anita Dr, Las Cruces, NM 88001. The listed phone number is (915) 345-5489.

What is Clear Lake Studio, LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Clear Lake Studio, LLC was last updated on January 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.