| Avenidas Nuevas Counseling Llc | |
|
324 Cornell Dr Se Albuquerque NM 87106-5513 | |
| (602) 380-1750 | |
| Not Available |
| Full Name | Avenidas Nuevas Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 324 Cornell Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Daniel Antonio F Lomeli (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 6023801750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenidas Nuevas Counseling Llc 324 Cornell Dr Se Albuquerque NM 87106-5513 Ph: (602) 380-1750 | Avenidas Nuevas Counseling Llc 324 Cornell Dr Se Albuquerque NM 87106-5513 Ph: (602) 380-1750 |
| NPI Number | 1184246902 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Medicare PECOS PAC ID | 0941624696 |
|---|---|
| Medicare Enrollment ID | O20200728001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184246902 | NPI | - | NPPES |
| 49803034 | Medicaid | NM | |
| 03075567 | Medicaid | NM |
| Provider Name | Daniel Antonio Fierro Lomeli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851734511 PECOS PAC ID: 5395023204 Enrollment ID: I20161027002068 |
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