EAGLE ROCK THERAPY LLC (NPI# 1710460126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460126 |
| Entity Type | Organization |
| Organization Name | EAGLE ROCK THERAPY LLC |
| Practice Address |
100 Sun Ave Ne Ste 650 Albuquerque NM 87109-4670 |
| Mailing Address |
12801 Indian School Rd Ne Apt 408 Albuquerque NM 87112-4772 |
| Practice Telephone | 3236271469 |
| Mailing Telephone | 3236271469 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | MS. DAMARIS ROBIN MARTINEZ (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 3236271469 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Eagle Rock Therapy LLC | 528 Yale Place, #b, Canyon City, CO 81212 |
| Street Address |
100 SUN AVE NE STE 650 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1487289773 | Access Endocrinology LLC | Internal Medicine | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-03-06 |
| 1700418019 | Ericka Lynne Mitchell | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-02-05 |
| 1073144143 | Rebecca Alicia Moser | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-01-28 |
| 1780226324 | John Jeffrey Lenz | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-15 |
| 1013558477 | Sabrina Leigh Ann Leyba | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-07 |
| 1205477221 | Brianna Sides | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-01 |
| 1104474436 | Yvonne Rivera | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-29 |
| 1720634330 | Ginny Green Lcsw LLC | Social Worker | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-11 |
| 1326693078 | Victoria Rosenberger | Behavioral Analyst | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on EAGLE ROCK THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.