Healthcare Provider Details

I. General information

NPI: 1093651275
Provider Name (Legal Business Name): LIMITLESS 505 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9905 BELL AVE SE
ALBUQUERQUE NM
87123-3312
US

IV. Provider business mailing address

9905 BELL AVE SE
ALBUQUERQUE NM
87123-3312
US

V. Phone/Fax

Practice location:
  • Phone: 505-712-4150
  • Fax:
Mailing address:
  • Phone: 505-712-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DANIELA C. ROMERO
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 505-712-4150