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

Mr. Triston Shane Eriacho, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1023934379

Mr. Triston Shane Eriacho, LSAA is an Addiction (Substance Use Disorder) Counselor in Pine Hill, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

Bia Rt 125 Behavioral Health Rd
Pine Hill, NM 87357
Phone: (505) 775-3353
Fax: (505) 775-3630
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 CTB-2023-0738 (NM)

Record details

NPI number1023934379
Entity typeIndividual (Type 1)
GenderMale
Credentials LSAA
Sole proprietorNo
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 9, 2026