Allison Benton Goss, Llc | |
1400 Carlisle Blvd Ne Suite A Albuquerque NM 87110-5667 | |
(505) 266-2997 | |
(505) 266-3063 |
Full Name | Allison Benton Goss, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1400 Carlisle Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Allison Benton Goss (MEMBER) |
Authorized Official Contact | 5052662997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Allison Benton Goss, Llc 1400 Carlisle Blvd Ne Suite A Albuquerque NM 87110-5667 Ph: (505) 266-2997 | Allison Benton Goss, Llc 1400 Carlisle Blvd Ne Suite A Albuquerque NM 87110-5667 Ph: (505) 266-2997 |
NPI Number | 1679710677 |
---|---|
Provider Enumeration Date | 01/13/2009 |
Last Update Date | 03/27/2009 |
Medicare PECOS PAC ID | 7012066574 |
---|---|
Medicare Enrollment ID | O20090513000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679710677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Allison Benton Goss |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326112442 PECOS PAC ID: 4981703113 Enrollment ID: I20070628000240 |
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 |