Casita Counseling | |
30 Don Tomas Corrales NM 87048-9607 | |
(505) 206-6725 | |
Not Available |
Full Name | Casita Counseling |
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Speciality | Counselor |
Location | 30 Don Tomas, Corrales, New Mexico |
Authorized Official Name and Position | Robin Ingram (OWNER) |
Authorized Official Contact | 5052066725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Casita Counseling 30 Don Tomas Corrales NM 87048-9607 Ph: () - | Casita Counseling 30 Don Tomas Corrales NM 87048-9607 Ph: (505) 206-6725 |
NPI Number | 1679284111 |
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Provider Enumeration Date | 12/06/2022 |
Last Update Date | 12/06/2022 |
Certification Date | 12/06/2022 |
Medicare PECOS PAC ID | 1355792797 |
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Medicare Enrollment ID | O20240110000452 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679284111 | NPI | - | NPPES |
03423760 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Robin Suzanne Ingram |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1265069496 PECOS PAC ID: 6204287642 Enrollment ID: I20240110000986 |
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