| Age To Age Counseling | |
|
5916 Anaheim Ave Ne Ste A Albuquerque NM 87113-1894 | |
| (505) 291-6314 | |
| (505) 275-0296 |
| Full Name | Age To Age Counseling |
|---|---|
| Speciality | Counselor |
| Location | 5916 Anaheim Ave Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Laura Raigner (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5052916314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Age To Age Counseling 5916 Anaheim Ave Ne Ste A Albuquerque NM 87113-1894 Ph: (505) 291-6314 | Age To Age Counseling 5916 Anaheim Ave Ne Ste A Albuquerque NM 87113-1894 Ph: (505) 291-6314 |
| NPI Number | 1336178060 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 02/28/2024 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 6305933151 |
|---|---|
| Medicare Enrollment ID | O20071026000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336178060 | NPI | - | NPPES |
| 28008367 | Medicaid | NM |
| Provider Name | Shari A Spies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356500433 PECOS PAC ID: 6608915624 Enrollment ID: I20091204000412 |
| Provider Name | Jessica Erin Patterson-hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609991686 PECOS PAC ID: 8123470531 Enrollment ID: I20240122003558 |
| Provider Name | Evelyn Marie Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134634215 PECOS PAC ID: 9032569579 Enrollment ID: I20240131000142 |
| Provider Name | Shawne Ann Blackburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811057789 PECOS PAC ID: 9234588302 Enrollment ID: I20240312003702 |
| Provider Name | Reynette Beynon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669018024 PECOS PAC ID: 5092155895 Enrollment ID: I20240426001569 |
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