Individual ProviderDiana MariscalCounselorBehavioral Health & Social Service ProvidersPractice Address760 N Motel Blvd, Las Cruces, NM 88007-4169(575) 527-7975(575) 526-1105PECOS EnrollmentBased on the most recent information from CMS, provider Diana Mariscal is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922740455Provider TypeIndividualFull NameMariscal, DianaCredentialLPCCGenderFemaleSole ProprietorNoEnumeration Date4/13/2022Last Updated4/13/2022Contact InformationPractice LocationPractice Address760 N Motel Blvd, Las Cruces, NM 88007-4169Phone(575) 527-7975Fax(575) 674-2861Mailing LocationMailing Address385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423Phone(575) 526-1105Fax(575) 524-4266Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCTB-2022-0085New Mexico