NPI Code Details Logo

NPI 1255127999

NPI 1255127999 : R&R MENTAL WELLNESS LLC : ALBUQUERQUE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255127999
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    R&R MENTAL WELLNESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2025
-----------------------------------------------------
    Last Update Date     |    04/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    500 MARQUETTE AVE NW SUITE 1200 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87102
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-359-5222
-----------------------------------------------------
    Fax                  |    505-485-0532
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11615 GLENDORA RUN 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78245-4355
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-359-5222
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     TINESHA  RIOS 
-----------------------------------------------------
    Credential           |    NP
-----------------------------------------------------
    Telephone            |    505-359-5222
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.