Healthcare Provider Details

I. General information

NPI: 1023946647
Provider Name (Legal Business Name): NM TRANSFORMATIVE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 COORS BYP NW
ALBUQUERQUE NM
87114-4040
US

IV. Provider business mailing address

PO BOX 65071
ALBUQUERQUE NM
87193-5071
US

V. Phone/Fax

Practice location:
  • Phone: 505-908-5846
  • Fax:
Mailing address:
  • Phone: 505-908-5846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN GARCIA-RIMORIN
Title or Position: PSYCHOTHERAPIST/ THERAPIST
Credential: LPCC
Phone: 505-908-5846