Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prospera Healthcare New Mexico LLC

Organization Community/Behavioral Health Agency · NPI 1083363295

Prospera Healthcare New Mexico LLC is a Community/Behavioral Health Agency in Albuquerque, New Mexico. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9701 Montgomery Blvd NE
Albuquerque, NM 87111-3501
Phone: (972) 900-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1083363295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Coddington — Founder · (972) 400-1983
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 9, 2022
Mailing address5200 Saddle Dr, Flower Mound, TX 75028-6011

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