Healthcare Provider Details

I. General information

NPI: 1255127999
Provider Name (Legal Business Name): R&R MENTAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW SUITE 1200
ALBUQUERQUE NM
87102
US

IV. Provider business mailing address

11615 GLENDORA RUN
SAN ANTONIO TX
78245-4355
US

V. Phone/Fax

Practice location:
  • Phone: 505-359-5222
  • Fax: 505-485-0532
Mailing address:
  • Phone: 505-359-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TINESHA RIOS
Title or Position: OWNER
Credential: NP
Phone: 505-359-5222