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

Mr. Roy Whiteeagle, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376962225

Mr. Roy Whiteeagle, LADAC is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2014

Practice location Address checks out

4300 Silver Ave SE Ste F
Albuquerque, NM 87108-2748
Phone: (505) 255-1804
Fax: (505) 265-4446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 05998 (NM)

Record details

NPI number1376962225
Entity typeIndividual (Type 1)
GenderMale
Credentials LADAC
Sole proprietorYes
NPI enumeratedApril 8, 2014
Last updated in NPPESApril 8, 2014

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