Healthcare Provider Details

I. General information

NPI: 1548121353
Provider Name (Legal Business Name): CHIMAJA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 SAN PEDRO DR NE STE P
ALBUQUERQUE NM
87110-6744
US

IV. Provider business mailing address

6801 JEFFERSON ST NE STE 150
ALBUQUERQUE NM
87109-4379
US

V. Phone/Fax

Practice location:
  • Phone: 505-699-8686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALEGRA LARK ROYBAL
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 505-699-8686