| Accountable Counseling Llc | |
|
132 Arroyo Hondo Rd Santa Fe NM 87508-5941 | |
| (971) 261-8737 | |
| Not Available |
| Full Name | Accountable Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Arroyo Hondo Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Tor Travis (OWNER) |
| Authorized Official Contact | 9712618737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accountable Counseling Llc 132 Arroyo Hondo Rd Santa Fe NM 87508-5941 Ph: () - | Accountable Counseling Llc 132 Arroyo Hondo Rd Santa Fe NM 87508-5941 Ph: (971) 261-8737 |
| NPI Number | 1841998820 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 0941662795 |
|---|---|
| Medicare Enrollment ID | O20230810004573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841998820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tor Jacob Travis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720601990 PECOS PAC ID: 1850753609 Enrollment ID: I20230811000001 |
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