Healthcare Provider Details

I. General information

NPI: 1790660058
Provider Name (Legal Business Name): BUILDING RESILIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N 11TH ST
BELEN NM
87002-3004
US

IV. Provider business mailing address

420 N 11TH ST
BELEN NM
87002-3004
US

V. Phone/Fax

Practice location:
  • Phone: 575-496-1351
  • 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: MR. ROBERT E MONTOYA
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 575-496-1351