| Center For Collective Wellness Llc | |
|
3855 Foothills Rd Ste C Las Cruces NM 88011-4772 | |
| (575) 496-7762 | |
| Not Available |
| Full Name | Center For Collective Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3855 Foothills Rd Ste C, Las Cruces, New Mexico |
| Authorized Official Name and Position | Jennelle Hindash (OWNER) |
| Authorized Official Contact | 5753865254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Collective Wellness Llc 3855 Foothills Rd Ste C Las Cruces NM 88011-4772 Ph: (575) 386-5254 | Center For Collective Wellness Llc 3855 Foothills Rd Ste C Las Cruces NM 88011-4772 Ph: (575) 496-7762 |
| NPI Number | 1376163030 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 5496186975 |
|---|---|
| Medicare Enrollment ID | O20200518000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376163030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennelle D Hindash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033247275 PECOS PAC ID: 3577698141 Enrollment ID: I20100322000247 |
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