Organization
PHOENIX SUPPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL GUZMAN VEGA LMSW (OWNER)
(505) 353-2061
Entity
Organization
Contact information
Practice address
1005 21ST ST SE STE B, RIO RANCHO, NM 87124-4030
(505) 353-2061
Mailing address
PO BOX 15248, RIO RANCHO, NM 87174-0248
(505) 353-2061
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
06/13/2025
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