Barbara Birdsong, Lpcc, Llc | |
700 Mechem Dr Ste 7 Ruidoso NM 88345-6900 | |
(575) 937-8483 | |
(575) 258-3320 |
Full Name | Barbara Birdsong, Lpcc, Llc |
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Speciality | Community/behavioral Health |
Location | 700 Mechem Dr, Ruidoso, New Mexico |
Authorized Official Name and Position | Barbara Birdsong (SOLE PROPRIETOR) |
Authorized Official Contact | 5759378483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Barbara Birdsong, Lpcc, Llc 102 Pamela Ln Ruidoso NM 88345-9322 Ph: (575) 937-8483 | Barbara Birdsong, Lpcc, Llc 700 Mechem Dr Ste 7 Ruidoso NM 88345-6900 Ph: (575) 937-8483 |
NPI Number | 1003226671 |
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Provider Enumeration Date | 05/05/2014 |
Last Update Date | 05/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003226671 | NPI | - | NPPES |
82324034 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4845005 (New Mexico) | Primary |
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