| Healing Word Llc | |
|
215 Cowboy Way Edgewood NM 87015-9616 | |
| (505) 818-9758 | |
| Not Available |
| Full Name | Healing Word Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 Cowboy Way, Edgewood, New Mexico |
| Authorized Official Name and Position | Melinda Stern (OWNER) |
| Authorized Official Contact | 5058189758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Word Llc 215 Cowboy Way Edgewood NM 87015-9616 Ph: (505) 818-9758 | Healing Word Llc 215 Cowboy Way Edgewood NM 87015-9616 Ph: (505) 818-9758 |
| NPI Number | 1730710872 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 1658715230 |
|---|---|
| Medicare Enrollment ID | O20240222001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730710872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melinda Michelle Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912425679 PECOS PAC ID: 2567806144 Enrollment ID: I20240222001785 |
| Provider Name | Leticia Molina-landeros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861804031 PECOS PAC ID: 1153761275 Enrollment ID: I20240506003421 |
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