| Corazon Training And Consulting Inc | |
|
1401 Avenida Manana Ne Albuquerque NM 87110-5748 | |
| (505) 235-2429 | |
| (505) 254-2294 |
| Full Name | Corazon Training And Consulting Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Avenida Manana Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Pauline Lucero (DIRECTOR/OWNER) |
| Authorized Official Contact | 5052352429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corazon Training And Consulting Inc 1401 Avenida Manana Ne Albuquerque NM 87110-5748 Ph: (505) 235-2429 | Corazon Training And Consulting Inc 1401 Avenida Manana Ne Albuquerque NM 87110-5748 Ph: (505) 235-2429 |
| NPI Number | 1215201991 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 0244688083 |
|---|---|
| Medicare Enrollment ID | O20240220002841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215201991 | NPI | - | NPPES |
| 79128025 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1840 (New Mexico) | Primary |
| 1041C0700X | Social Worker - Clinical | M-0827 (New Mexico) | Secondary |
| Provider Name | Pauline Lucero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174667687 PECOS PAC ID: 2062860802 Enrollment ID: I20240509003181 |
| Provider Name | Bryn Naranjo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619468493 PECOS PAC ID: 3375984958 Enrollment ID: I20240514001698 |
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