Discovering Greatness, Llc | |
625 Silver Ave Sw Albuquerque NM 87102-3123 | |
(505) 436-3916 | |
(505) 842-8435 |
Full Name | Discovering Greatness, Llc |
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Speciality | Counselor |
Location | 625 Silver Ave Sw, Albuquerque, New Mexico |
Authorized Official Name and Position | Teresa Homer (MANAGER/ OWNER) |
Authorized Official Contact | 5054363916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Discovering Greatness, Llc 5824 Night Rose Ave Nw Albuquerque NM 87114-3591 Ph: (505) 470-0661 | Discovering Greatness, Llc 625 Silver Ave Sw Albuquerque NM 87102-3123 Ph: (505) 436-3916 |
NPI Number | 1568982700 |
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Provider Enumeration Date | 06/20/2017 |
Last Update Date | 02/27/2020 |
Certification Date | 02/27/2020 |
Medicare PECOS PAC ID | 2264773969 |
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Medicare Enrollment ID | O20190405002108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568982700 | NPI | - | NPPES |
Provider Name | Cheryl Blossom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437217874 PECOS PAC ID: 0648297853 Enrollment ID: I20051219000912 |
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