RISE WOMENS SELF RECOVERY LLC (NPI# 1992313274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992313274 |
| Entity Type | Organization |
| Organization Name | RISE WOMENS SELF RECOVERY LLC |
| Practice Address |
507 W Pueblo Dr Espanola NM 87532-2508 |
| Mailing Address |
Po Box 305 Chimayo NM 87522-0305 |
| Practice Telephone | 5054849154 |
| Mailing Telephone | 5054849154 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | MICHELLE PEIXINHO (THERAPIST) |
| Authorized Official Telephone | 5054849154 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
507 W PUEBLO DR |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1699242313 | Skelton Counseling and Consulting, LLC | Clinic/Center | 754 Patton Dr, Gallup, NM 87301-4784 | 2018-10-31 |
| 1821575671 | La Ventana Behavioral Health, LLC | Clinic/Center | 2801 Missouri Ave Ste 9, Las Cruces, NM 88011-5061 | 2018-07-24 |
| 1316432727 | Breakthrough Counseling | Clinic/Center | 135 Reclining Acres Rd, Corrales, NM 87048-7307 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.