Healthcare Provider Details
I. General information
NPI: 1205780665
Provider Name (Legal Business Name): NUEVA VIDA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 N CHURCH ST. OFFICE 505
LAS CRUCES NM
88001-3440
US
IV. Provider business mailing address
1440 CALLE SOSA
LAS CRUCES NM
88001-2139
US
V. Phone/Fax
- Phone: 575-494-4539
- Fax:
- Phone: 575-494-4539
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CLAUDIA
HIGUERA ALVAREZ
Title or Position: CLINICIAN/OWNER
Credential: LCSW
Phone: 575-494-4539