1760336614 NPI number — MS. VICTORIA LORRAINE VALLES-MORA MA, LPCC

Table of content: MS. VICTORIA LORRAINE VALLES-MORA MA, LPCC (NPI 1760336614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760336614 NPI number — MS. VICTORIA LORRAINE VALLES-MORA MA, LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALLES-MORA
Provider First Name:
VICTORIA
Provider Middle Name:
LORRAINE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VALLES-MORA
Provider Other First Name:
VICKI
Provider Other Middle Name:
L.
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPCC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1760336614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6305 LITTLE JOE PL NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87120-3773
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7425 4TH ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS RANCHOS
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87107-6627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-259-7353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  CCMH973 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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