Johanna Depalma, | |
8600 Academy Rd Ne, Albuquerque, NM 87111-1107 | |
(505) 821-3628 | |
(505) 821-3628 |
Full Name | Johanna Depalma |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8600 Academy Rd Ne, Albuquerque, 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 |
---|---|---|---|
1023431673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0166611 (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | T-0163671 (New Mexico) | Primary |
Entity Name | Formation Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033274535 PECOS PAC ID: 9335387224 Enrollment ID: O20130605000327 |
Mailing Address | Practice Location Address |
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Johanna Depalma, 8205 Spain Rd Ne, Suite 106, Albuquerque, NM 87109-3179 Ph: (505) 856-0300 | Johanna Depalma, 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 Ph: (505) 821-3628 |
Ms. Lori M Ortiz, M.A. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 San Mateo Blvd Ne, Albuquerque, NM 87110 Phone: 505-830-1871 | |
Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Shelley Sue Stisser, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 | |
Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Ms. Ramona Floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473 | |
Julie Marie Raborn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503 |