INNOVATIVE RECOVERY SERVICES LLC (NPI# 1871033167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871033167 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE RECOVERY SERVICES LLC |
| Practice Address |
2051 Mars Ave Apt D5 Las Cruces NM 88012-7712 |
| Practice Telephone | 5759158367 |
| Mailing Telephone | 5759158367 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | JUAN MENDOZA (LADAC, OWNER) |
| Authorized Official Telephone | 5759158367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2051 MARS AVE APT D5 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88012-7712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972588 | Ashley Ruiz | Behavior Technician | 5210 Cats Eye Road, Las Cruces, NM 88012 | 2018-11-27 |
| 1922549492 | Marisol Olivas Lmft LLC | Community/Behavioral Health | 5019 Kensington Way, Las Cruces, NM 88012 | 2017-03-16 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1003214941 | Rosa Smith | Case Manager/Care Coordinator | 5022 Calle De Ranchero, Las Cruces, NM 88012 | 2014-12-09 |
| 1891198081 | Patrick Garcia | Nurse Practitioner | 5819 Coyote Peak Place, Las Cruces, NM 88012 | 2014-10-01 |
| 1598182008 | Candido Jasso | Case Manager/Care Coordinator | 4076 Windridge Circle, Las Cruces, NM 88012 | 2014-03-21 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1144642133 | Minerva L Saavedra | Case Manager/Care Coordinator | 3823 Fossil Court, Las Cruces, NM 88012 | 2014-01-10 |
| 1780931089 | Elida Hernandez | Case Manager/Care Coordinator | 5572 La Reina, Las Cruces, NM 88012 | 2012-08-07 |
| 1841546231 | Mary Jane Duran | Case Manager/Care Coordinator | 2882-3 Glass Rd, Las Cruces, NM 88012 | 2012-08-03 |
| Find all providers in zip 88012 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292542 | Sergio Galvan | Counselor | Alt Recovery Group, 1141 Mall Drive Suite E, Las Cruces, NM 88011 | 2018-07-26 |
| 1487164810 | Project Fernando, LLC | Counselor | 1100 S Main St Ste 6, Las Cruces, NM 88005-2917 | 2017-10-12 |
| 1316492564 | Innovative Recovery of New Mexico | Counselor | 880 S Telshor Blvd Ste 110, Las Cruces, NM 88011-8682 | 2016-08-17 |
| 1477924447 | Amanda Kay Wiles | Counselor | 3391 Apple Cross Pl, Las Cruces, NM 88005-3714 | 2015-10-15 |
| 1184925992 | Maggie M. Segovia-osollo | Counselor | 1190 Foster, Las Cruces, NM 88001 | 2010-11-10 |
| 1063713998 | Novella G. Hernandez | Counselor | 1190 Foster Rd, Las Cruces, NM 88001-3775 | 2010-11-09 |
| 1871816629 | Gilbert Morales Jr. | Counselor | 251 N Roadrunner Pkwy Apt 2404, Las Cruces, NM 88011-7040 | 2010-03-09 |
| 1053540039 | Janis A Thompson | Counselor | 5243 Cochise Trl, Las Cruces, NM 88012-9737 | 2009-07-10 |
| 1801051867 | Lee King | Counselor | 1051 N Solano Dr, Las Cruces, NM 88001-2348 | 2008-07-18 |
| 1912166927 | Sandra Class | Counselor | 1309 E Griggs Ave, Las Cruces, NM 88001-2905 | 2008-06-04 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88012 |
Please comment or provide details below to improve the information on INNOVATIVE RECOVERY SERVICES 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.