| The Rock Family Therapy, Llc | |
|
1740 Grande Blvd Se Ste B5 Rio Rancho NM 87124-1799 | |
| (505) 336-0238 | |
| (505) 317-1873 |
| Full Name | The Rock Family Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1740 Grande Blvd Se Ste B5, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Rocky Manuel Vili (OWNER) |
| Authorized Official Contact | 5053360238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rock Family Therapy, Llc 1380 Rio Rancho Blvd Se # 403 Rio Rancho NM 87124-1006 Ph: (505) 336-0238 | The Rock Family Therapy, Llc 1740 Grande Blvd Se Ste B5 Rio Rancho NM 87124-1799 Ph: (505) 336-0238 |
| NPI Number | 1366255309 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Medicare PECOS PAC ID | 5294245445 |
|---|---|
| Medicare Enrollment ID | O20250606003554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366255309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rocky Manuel Vili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326719451 PECOS PAC ID: 6103336359 Enrollment ID: I20250606003582 |
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