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

Tracy Shaw, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629514633

Tracy Shaw, LADAC is an Addiction (Substance Use Disorder) Counselor in Rio Rancho, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2017

Practice location Address checks out

4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone: (505) 702-8547
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 0141901 (NM)

Record details

NPI number1629514633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADAC
Sole proprietorYes
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJanuary 13, 2017
Mailing address4100 Barbara Loop Se, Rio Rancho, NM 87124-1000

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