Gayle Porter, LPCC | |
2676 Maricopa Dr Se, Rio Rancho, NM 87124-3948 | |
(505) 225-2996 | |
Not Available |
Full Name | Gayle Porter |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2676 Maricopa Dr Se, 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 |
---|---|---|---|
1114324035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CCMH0194821 (New Mexico) | Primary |
Entity Name | New Mexico Crisis Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710684154 PECOS PAC ID: 8527409002 Enrollment ID: O20240515001492 |
Mailing Address | Practice Location Address |
---|---|
Gayle Porter, LPCC 2676 Maricopa Dr Se, Rio Rancho, NM 87124-3948 Ph: (505) 225-2996 | Gayle Porter, LPCC 2676 Maricopa Dr Se, Rio Rancho, NM 87124-3948 Ph: (505) 225-2996 |
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 |