| 505 Therapy Llc | |
|
4225 Montgomery Blvd Ne Albuquerque NM 87109-1103 | |
| (505) 361-1931 | |
| Not Available |
| Full Name | 505 Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 4225 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Philip Hunter Jochem (CEO) |
| Authorized Official Contact | 2147141663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 505 Therapy Llc 4225 Montgomery Blvd Ne Albuquerque NM 87109-1103 Ph: (505) 361-1931 | 505 Therapy Llc 4225 Montgomery Blvd Ne Albuquerque NM 87109-1103 Ph: (505) 361-1931 |
| NPI Number | 1841915386 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 9638527252 |
|---|---|
| Medicare Enrollment ID | O20231121000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841915386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebekah Jan Hutchins Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740927953 PECOS PAC ID: 8123476785 Enrollment ID: I20231121001872 |
| Provider Name | Lori A Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750022703 PECOS PAC ID: 8628426921 Enrollment ID: I20231128000274 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3539 Thaxton Ave Se, Albuquerque, NM 87106 Phone: 505-903-0927 |