| Anita La Cour Counseling & Consultation Services Llc | |
|
1300 Park Ave Sw Albuquerque NM 87102-2842 | |
| (505) 999-7200 | |
| Not Available |
| Full Name | Anita La Cour Counseling & Consultation Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1300 Park Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Anita Treloar La Cour (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5059997200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita La Cour Counseling & Consultation Services Llc 1300 Park Ave Sw Albuquerque NM 87102-2842 Ph: (505) 999-7200 | Anita La Cour Counseling & Consultation Services Llc 1300 Park Ave Sw Albuquerque NM 87102-2842 Ph: (505) 999-7200 |
| NPI Number | 1740981463 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 3971968975 |
|---|---|
| Medicare Enrollment ID | O20230426002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740981463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anita Treloar La Cour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295948602 PECOS PAC ID: 4587029566 Enrollment ID: I20230426001368 |
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