Cassidy Ruth Huffman, | |
117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | |
(575) 472-4311 | |
(575) 472-4313 |
Full Name | Cassidy Ruth Huffman |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 117 Camino De Vida, Santa Rosa, 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 |
---|---|---|---|
1467750653 | NPI | - | NPPES |
23736071 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0174571 (New Mexico) | Primary |
Entity Name | Huffman Counseling And Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407430861 PECOS PAC ID: 5799126017 Enrollment ID: O20240516002976 |
Mailing Address | Practice Location Address |
---|---|
Cassidy Ruth Huffman, 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Ph: (575) 472-4311 | Cassidy Ruth Huffman, 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Ph: (575) 472-4311 |
Shanycole Martinez, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Theresa L. Romero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Sharon Campos, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Ann Marie Higgins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 | |
Michelle Romero, BMS/CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Anita Valencia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Fourth St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Daniel Edward Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 |