| Formation Counseling Services Inc | |
|
8600 Academy Rd Ne Albuquerque NM 87111-1107 | |
| (505) 821-3628 | |
| (505) 856-7103 |
| Full Name | Formation Counseling Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8600 Academy Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Marty Goehring (PRESIDENT) |
| Authorized Official Contact | 5058213628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Formation Counseling Services Inc 8600 Academy Rd Ne Albuquerque NM 87111-1107 Ph: (505) 821-3628 | Formation Counseling Services Inc 8600 Academy Rd Ne Albuquerque NM 87111-1107 Ph: (505) 821-3628 |
| NPI Number | 1033274535 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 03/19/2019 |
| Medicare PECOS PAC ID | 9335387224 |
|---|---|
| Medicare Enrollment ID | O20130605000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033274535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Linda M Coble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740206432 PECOS PAC ID: 3173503422 Enrollment ID: I20040726000802 |
| Provider Name | Marianne V Meador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780997387 PECOS PAC ID: 9739327545 Enrollment ID: I20130605000639 |
| Provider Name | Don C Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437222304 PECOS PAC ID: 5597903310 Enrollment ID: I20130605000725 |
| Provider Name | Marty M Goehring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265442859 PECOS PAC ID: 6204074107 Enrollment ID: I20130605000795 |
| Provider Name | Veronica G Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063511533 PECOS PAC ID: 0749428506 Enrollment ID: I20130606000267 |
| Provider Name | Sonja M Strack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174751572 PECOS PAC ID: 5698914216 Enrollment ID: I20130611000836 |
| Provider Name | Alicia D Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174871941 PECOS PAC ID: 0749422178 Enrollment ID: I20130814000089 |
| Provider Name | Lucy Bertoldo-ronquillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215305172 PECOS PAC ID: 5092058685 Enrollment ID: I20190522003145 |
| Provider Name | Mary Angelynn White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902983182 PECOS PAC ID: 6709239478 Enrollment ID: I20240129004544 |
| Provider Name | Ruth Virginia Schoder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952479370 PECOS PAC ID: 9335582550 Enrollment ID: I20240205002980 |
| Provider Name | Andrea Lynn Pauls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477611838 PECOS PAC ID: 2769825934 Enrollment ID: I20240206000010 |
| Provider Name | Johanna Depalma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023431673 PECOS PAC ID: 9638512510 Enrollment ID: I20240207003038 |
| Provider Name | Roylee Hedges Accetta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669784534 PECOS PAC ID: 0244674380 Enrollment ID: I20240216002753 |
| Provider Name | Virginia Canada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548339286 PECOS PAC ID: 7416392741 Enrollment ID: I20240227001472 |
| Provider Name | Keadron Finn Friar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689850570 PECOS PAC ID: 8426493644 Enrollment ID: I20240228000389 |
| Provider Name | Kayla Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235524505 PECOS PAC ID: 0345685301 Enrollment ID: I20240229000942 |
| Provider Name | Sara Higgins Chapman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245316108 PECOS PAC ID: 7517302599 Enrollment ID: I20240229001651 |
| Provider Name | Candace C Heffelfinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629201587 PECOS PAC ID: 8820433832 Enrollment ID: I20240229002735 |
| Provider Name | Stephanie Brown Norton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538677596 PECOS PAC ID: 3476998055 Enrollment ID: I20240305003607 |
| Provider Name | Brian Earl Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760568620 PECOS PAC ID: 6800234154 Enrollment ID: I20240404003320 |
| Provider Name | Paul Alan Marcus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629486352 PECOS PAC ID: 5799123063 Enrollment ID: I20240404004268 |
| Provider Name | Jeremy L Nagorski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083331714 PECOS PAC ID: 2365882438 Enrollment ID: I20240507000465 |
| Provider Name | Patrick Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609379908 PECOS PAC ID: 3274974035 Enrollment ID: I20240510000212 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3908 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 505-903-0927 |