Trauma Recovery Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

TRAUMA RECOVERY SERVICES, LLC

Practice address

6121 Indian School Rd NE Ste 235
Albuquerque, NM 87110-4172

Phone

(505) 321-2616

NPI assigned

Feb 11, 2019

Last updated

Feb 23, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melinda Heller Nellos, LPCC

Title

Co-Owner

Phone

(505) 321-2616

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1023574431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 GIACOMO AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232497",
            "telephone_number": "505-321-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 235",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104172",
            "telephone_number": "505-321-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "HELLER NELLOS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-321-2616",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Trask, M.S. CCC-SLP
• Thy Thy Kim Trat Thai, DPM
• Steven Jacob Traub, D.D.S.
• Michael Allen Trauba
• Kristine Traum
• Kerry Elizabeth Trautwein, OT/L
• Dawn M. Travelstead, M.S., R.D., L.D.
• Samantha Travierso
• Travis Medical Sales Corporation
• Tree of Life Healing Center LLC

• Adolescent and Children Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adolescent and Children Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.