Healthcare Provider Details

I. General information

NPI: 1023987310
Provider Name (Legal Business Name): BOBBI C MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 GANNETT DR NE
RIO RANCHO NM
87144-7865
US

IV. Provider business mailing address

6355 GANNETT DR NE
RIO RANCHO NM
87144-7865
US

V. Phone/Fax

Practice location:
  • Phone: 505-814-9707
  • Fax:
Mailing address:
  • Phone: 505-814-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2024-0371
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: