Healthcare Provider Details

I. General information

NPI: 1023977204
Provider Name (Legal Business Name): RACHEL ARVIZU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 TRUMAN ST NE
ALBUQUERQUE NM
87108-1330
US

IV. Provider business mailing address

2824 WASHINGTON ST NE
ALBUQUERQUE NM
87110-2930
US

V. Phone/Fax

Practice location:
  • Phone: 505-895-0147
  • Fax: 505-441-2954
Mailing address:
  • Phone: 505-895-0147
  • Fax: 505-441-2954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCTB-2026-0083
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: