| Heart Brain International, Llc | |
|
3228 Los Arboles Ave Ne # A-200 Albuquerque NM 87107-1962 | |
| (505) 933-5301 | |
| Not Available |
| Full Name | Heart Brain International, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3228 Los Arboles Ave Ne # A-200, Albuquerque, New Mexico |
| Authorized Official Name and Position | David Zimpelman (REGISTERED AGENT) |
| Authorized Official Contact | 5059335301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Brain International, Llc 1312 Sierra Larga Dr. Ne Albuquerque NM 87112 Ph: (505) 933-5301 | Heart Brain International, Llc 3228 Los Arboles Ave Ne # A-200 Albuquerque NM 87107-1962 Ph: (505) 933-5301 |
| NPI Number | 1760850416 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760850416 | NPI | - | NPPES |
| 12554677 | Other | NM | CAQH |
| 96851287 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 102651 (New Mexico) | Primary |
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