Omar A Vega, LPCC, LED, LSP | |
29 Rito Guicu, Santa Fe, NM 87507-4321 | |
(505) 235-4002 | |
(505) 473-9409 |
Full Name | Omar A Vega |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 29 Rito Guicu, Santa Fe, 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 |
---|---|---|---|
1386855252 | NPI | - | NPPES |
64972526 | Medicaid | NM |
Entity Name | Teambuilders Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790329472 PECOS PAC ID: 5294126629 Enrollment ID: O20211220001149 |
Mailing Address | Practice Location Address |
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Omar A Vega, LPCC, LED, LSP 29 Rito Guicu, Santa Fe, NM 87507-4321 Ph: (505) 235-4002 | Omar A Vega, LPCC, LED, LSP 29 Rito Guicu, Santa Fe, NM 87507-4321 Ph: (505) 235-4002 |
Kim M Servent, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601a Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-954-8786 Fax: 505-954-8794 | |
Leonard Tischler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 San Ildefonso Rd, Santa Fe, NM 87505 Phone: 505-471-4985 | |
Ralph E Flores, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Susan C Rivera, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Paula Strongheart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-986-9633 | |
Suzanne Salladin, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Lisa Barnes, MA PSY, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Old Agua Fria Rd E, Santa Fe, NM 87508 Phone: 505-988-1169 |