| Cornwell Counseling Llc | |
|
4273 Montgomery Blvd Ne Ste K220 Albuquerque NM 87109-6748 | |
| (055) 541-2835 | |
| (505) 207-6167 |
| Full Name | Cornwell Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4273 Montgomery Blvd Ne Ste K220, Albuquerque, New Mexico |
| Authorized Official Name and Position | Zoe Cornwell (OWNER) |
| Authorized Official Contact | 5055541283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornwell Counseling Llc 4273 Montgomery Blvd Ne Ste K220 Albuquerque NM 87109-6748 Ph: (505) 554-1283 | Cornwell Counseling Llc 4273 Montgomery Blvd Ne Ste K220 Albuquerque NM 87109-6748 Ph: (055) 541-2835 |
| NPI Number | 1518694009 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 3072950971 |
|---|---|
| Medicare Enrollment ID | O20240327003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518694009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Zoe Cornwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932509031 PECOS PAC ID: 7416394317 Enrollment ID: I20240327003569 |
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