Evora Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVORA THERAPY SERVICES LLC

Practice address

400 E College Blvd Ste A1
Roswell, NM 88201-7571

Phone

(575) 910-1440

NPI assigned

Feb 25, 2026

Organization subpart

No

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

Authorized official

Name

Elva BurilloNPI 1568316453

Title

Owner/Provider

Phone

(575) 910-1440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elva Burillo, LCSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1568316453
  Medicare reassignment NPD Authorized official
• Kim Parker-Guerrero, PT, DPT

  • Physical Therapist
  • Roswell, NM
  • NPI 1871290346
  NPD (past)

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1902750896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882020832",
            "telephone_number": "575-910-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE A1",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017571",
            "telephone_number": "575-910-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400A N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882018267",
            "country_code": "US",
            "telephone_number": "575-910-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVORA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BURILLO",
        "authorized_official_first_name": "ELVA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "575-910-1440"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0050241",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Teresa Fairclough, LMSW

• Clinical Social Worker in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.