Mr Nathaniel Lukas Redekopp, NCC, LPCC | |
1900 10th St, Alamogordo, NM 88310-5053 | |
(575) 249-4950 | |
Not Available |
Full Name | Mr Nathaniel Lukas Redekopp |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1900 10th St, Alamogordo, 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 |
---|---|---|---|
1952921223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CMH0210781 (New Mexico) | Secondary |
101YP2500X | Counselor - Professional | CTB-2022-0915 (New Mexico) | Primary |
Entity Name | Pawsitively Transformational Health And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316547904 PECOS PAC ID: 1658769799 Enrollment ID: O20211022001213 |
Mailing Address | Practice Location Address |
---|---|
Mr Nathaniel Lukas Redekopp, NCC, LPCC 1111 10th St # 400, Alamogordo, NM 88310-6413 Ph: (505) 331-4429 | Mr Nathaniel Lukas Redekopp, NCC, LPCC 1900 10th St, Alamogordo, NM 88310-5053 Ph: (575) 249-4950 |
Aundre L Fields, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Tenth Street Suite C, Alamogordo, NM 88310 Phone: 575-437-8964 | |
Shelly L Carns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 10th St Ste C, Alamogordo, NM 88310 Phone: 575-437-8964 | |
Darcy A Garcia, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Texas Ave, Alamogordo, NM 88310 Phone: 575-434-3011 Fax: 575-443-9724 | |
Mrs. Sherel Jo Stone, M.S., LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1900 E. 10th St., Alamogordo, NM 88310 Phone: 575-437-7404 Fax: 575-439-2860 | |
Darla Hollibaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 263b Robert H Bradley Dr, Alamogordo, NM 88310 Phone: 575-437-8964 | |
Dr. Calvin Bolinder, PHD, PPCC Counselor Medicare: Medicare Enrolled Practice Location: 1208 N New York Ave, Alamogordo, NM 88310 Phone: 505-437-8865 Fax: 505-437-1446 | |
Aida Elena Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1213 Michigan Ave, Alamogordo, NM 88310 Phone: 575-491-3419 |