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Contact Information

EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC
712 RENCHER ST
316 WEST 7TH STREET
CLOVIS, NM88101-6560
 Phone: 505-763-5003
 Fax: 505-762-2815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for EL ROCKY MOUNTAIN MANAGEMENT SERVICES LLC · (Female)

NPI Number 1326136532
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid M1703
  • NM Other NM600401 VALUE OPTION ID #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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