| Cerebral Solutions Counseling Llc | |
|
10131 Coors Blvd Nw Ste H8 Albuquerque NM 87114-4048 | |
| (505) 900-5084 | |
| Not Available |
| Full Name | Cerebral Solutions Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10131 Coors Blvd Nw Ste H8, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lora Smalley (OWNER) |
| Authorized Official Contact | 5059005084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Solutions Counseling Llc 10813 Buckboard St Nw Albuquerque NM 87114-5464 Ph: (505) 818-9762 | Cerebral Solutions Counseling Llc 10131 Coors Blvd Nw Ste H8 Albuquerque NM 87114-4048 Ph: (505) 900-5084 |
| NPI Number | 1194425629 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 7214380328 |
|---|---|
| Medicare Enrollment ID | O20240125000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194425629 | NPI | - | NPPES |
| 28104536 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lora Smalley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780772418 PECOS PAC ID: 8921451782 Enrollment ID: I20240130000442 |
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