Antoinette Sandoval-carpenter, LPCC | |
1717 Gros Ventre Dr Ne, Rio Rancho, NM 87144-7783 | |
(505) 350-6643 | |
Not Available |
Full Name | Antoinette Sandoval-carpenter |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1717 Gros Ventre Dr Ne, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447226030 | NPI | - | NPPES |
86284720 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0080401 (New Mexico) | Primary |
Entity Name | Sandoval Carpenter Counseling & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558618942 PECOS PAC ID: 3072965482 Enrollment ID: O20240122003431 |
Mailing Address | Practice Location Address |
---|---|
Antoinette Sandoval-carpenter, LPCC 12 Unser Blvd Se, Rio Rancho, NM 87124-6300 Ph: (505) 896-2520 | Antoinette Sandoval-carpenter, LPCC 1717 Gros Ventre Dr Ne, Rio Rancho, NM 87144-7783 Ph: (505) 350-6643 |
Jennifer Marie Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Mr. Frank P Lukasavage, LISW, LCSW, LADAC Counselor Medicare: Medicare Enrolled Practice Location: 2010 33rd Avenue, Rio Rancho, NM 87144 Phone: 505-891-1001 | |
Donny Raymond Pospishil-irizarry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 Fax: 505-896-0478 | |
Gary Allen Ritter, MS, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Barbara Loop Se, Rio Rancho, NM 87124 Phone: 505-702-8547 | |
Janice Norman, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Sulema Perales, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124 Phone: 505-419-8885 Fax: 505-212-0041 | |
Mr. Kenneth Lee Davis, CPSW, CPSC, MSD, DD Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 Fax: 504-994-0209 |