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General NPI Number Information
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NPI Number | 1366255309
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Entity Type | Organization
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Legal Business Name | THE ROCK FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1740 GRANDE BLVD SE STE B5
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City | RIO RANCHO
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State | NM
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Zip | 87124-1799
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Country | US
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Telephone | 505-336-0238
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Fax | 505-317-1873
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Provider Business Mailing Address
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Address Line | 1380 RIO RANCHO BLVD SE # 403
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City | RIO RANCHO
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State | NM
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Zip | 87124-1006
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Country | US
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Telephone | 505-336-0238
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROCKY MANUEL VILI
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Credential | LCSW
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Telephone | 505-336-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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