Healthcare Provider Details

I. General information

NPI: 1124958509
Provider Name (Legal Business Name): NEW MEXICO RECOVERY COALITION LTD. CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W COLLEGE AVE
SILVER CITY NM
88061-5418
US

IV. Provider business mailing address

500 N HUDSON ST UNIT 1953
SILVER CITY NM
88062-3183
US

V. Phone/Fax

Practice location:
  • Phone: 575-519-5810
  • Fax:
Mailing address:
  • Phone: 505-469-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIAN STENGEL
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential:
Phone: 505-469-3911