Daybreak Counseling, Inc. | |
4001 Office Court Dr Ste 403 Santa Fe NM 87507-4906 | |
(505) 395-9456 | |
(505) 930-5114 |
Full Name | Daybreak Counseling, Inc. |
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Speciality | Community/Behavioral Health |
Location | 4001 Office Court Dr Ste 403, Santa Fe, New Mexico |
Authorized Official Name and Position | Hal Agler (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 5053959456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daybreak Counseling, Inc. 4001 Office Court Dr Ste 302 Santa Fe NM 87507-4930 Ph: (505) 395-9456 | Daybreak Counseling, Inc. 4001 Office Court Dr Ste 403 Santa Fe NM 87507-4906 Ph: (505) 395-9456 |
NPI Number | 1558856104 |
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Provider Enumeration Date | 06/26/2018 |
Last Update Date | 06/26/2018 |
Medicare PECOS PAC ID | 1052644465 |
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Medicare Enrollment ID | O20190617002030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558856104 | NPI | - | NPPES |
432 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | C-08163 (New Mexico) | Primary |
Provider Name | Hal M Agler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558409060 PECOS PAC ID: 3678797909 Enrollment ID: I20140606001010 |
Provider Name | Sarah J Barnard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477016590 PECOS PAC ID: 5799028106 Enrollment ID: I20190528000199 |
Provider Name | Melissa B Loson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609011584 PECOS PAC ID: 2062574015 Enrollment ID: I20191009002277 |
Provider Name | Mindy A Mcclung |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134598303 PECOS PAC ID: 0345675591 Enrollment ID: I20200115002149 |
Provider Name | Leila Zazueta |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972916146 PECOS PAC ID: 4183050230 Enrollment ID: I20200207001749 |
Provider Name | Adam R Vareika |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093985392 PECOS PAC ID: 8224214440 Enrollment ID: I20200914002142 |
Provider Name | Jennifer Neil |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174731228 PECOS PAC ID: 9931596731 Enrollment ID: I20220426001318 |
Provider Name | Milton Sanchez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518513563 PECOS PAC ID: 5991180556 Enrollment ID: I20220916003093 |
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