| Counseling Abq | |
|
7001 Menaul Blvd Ne Suite B Albuquerque NM 87110-3695 | |
| (505) 220-8512 | |
| Not Available |
| Full Name | Counseling Abq |
|---|---|
| Speciality | Social Worker |
| Location | 7001 Menaul Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Denise Decker (OWNER) |
| Authorized Official Contact | 5052208512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Abq 7001 Menaul Blvd Ne Suite B Albuquerque NM 87110-3695 Ph: (505) 220-8512 | Counseling Abq 7001 Menaul Blvd Ne Suite B Albuquerque NM 87110-3695 Ph: (505) 220-8512 |
| NPI Number | 1336558782 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 2264733856 |
|---|---|
| Medicare Enrollment ID | O20151228001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336558782 | NPI | - | NPPES |
| 84779055 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-05056 (New Mexico) | Primary |
| Provider Name | Denise L Decker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114296662 PECOS PAC ID: 5496999567 Enrollment ID: I20130912000161 |
| Provider Name | Paige Loreen Andre-hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023762333 PECOS PAC ID: 0345622627 Enrollment ID: I20220803000958 |
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