| Gold Soul Counseling Llc | |
|
1740 Grande Blvd Se Rio Rancho NM 87124-1799 | |
| (505) 699-2866 | |
| Not Available |
| Full Name | Gold Soul Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1740 Grande Blvd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Anna G Pell (OWNER/CLINICIAN) |
| Authorized Official Contact | 5056992866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Soul Counseling Llc 2011 Dillon Dr Ne Rio Rancho NM 87124-2473 Ph: (505) 699-2866 | Gold Soul Counseling Llc 1740 Grande Blvd Se Rio Rancho NM 87124-1799 Ph: (505) 699-2866 |
| NPI Number | 1972250173 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 6901258268 |
|---|---|
| Medicare Enrollment ID | O20240123000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972250173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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