Theresa Ortiz, LMSW | |
1043 Highway 313, Bernalillo, NM 87004-6912 | |
(505) 867-3351 | |
(505) 867-3514 |
Full Name | Theresa Ortiz |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1043 Highway 313, Bernalillo, 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 |
---|---|---|---|
1104236694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | M-08152 (New Mexico) | Primary |
Entity Name | Pueblo Of Isleta |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738328 PECOS PAC ID: 9739080631 Enrollment ID: O20040616000379 |
Mailing Address | Practice Location Address |
---|---|
Theresa Ortiz, LMSW 10619 Virgo St Nw, Albuquerque, NM 87114-3661 Ph: (505) 366-4942 | Theresa Ortiz, LMSW 1043 Highway 313, Bernalillo, NM 87004-6912 Ph: (505) 867-3351 |
Lori Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2356 Fax: 505-867-2357 | |
Mrs. Madeleine Noel Stevens, LPCC, LPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Camino Del Pueblo, Valle Del Sol, Bernalillo, NM 87004 Phone: 505-867-2383 Fax: 505-867-7273 | |
Linda Menzel, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 872 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2383 Fax: 505-867-7293 | |
Maria C. Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2356 Fax: 505-867-2357 | |
Nissa Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 872 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2383 Fax: 505-867-7293 | |
Evangelina Lopez, CDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 255a S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-867-2356 |