| Evora Therapy Services LLC | |
|
400 E College Blvd Ste A1 Roswell NM 88201-7571 | |
| (575) 910-1440 | |
| Not Available |
| Full Name | Evora Therapy Services LLC |
|---|---|
| Speciality | Social Worker |
| Location | 400 E College Blvd Ste A1, Roswell, New Mexico |
| Authorized Official Name and Position | Elva Burillo (OWNER/PROVIDER) |
| Authorized Official Contact | 5759101440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evora Therapy Services LLC Po Box 832 Roswell NM 88202-0832 Ph: (575) 910-1440 | Evora Therapy Services LLC 400 E College Blvd Ste A1 Roswell NM 88201-7571 Ph: (575) 910-1440 |
| NPI Number | 1902750896 |
|---|---|
| Provider Enumeration Date | 02/25/2026 |
| Last Update Date | 07/29/2026 |
| Certification Date | 07/29/2026 |
| Medicare PECOS PAC ID | 9739654880 |
|---|---|
| Medicare Enrollment ID | O20260407001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902750896 | NPI | - | NPPES |
| N0050241 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Elva Burillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568316453 PECOS PAC ID: 0648745794 Enrollment ID: I20260407001840 |
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