| Numinous Counseling And Wellness, Llc | |
|
6032 Redondo Sierra Vis Ne Rio Rancho NM 87144-0606 | |
| (703) 945-4535 | |
| Not Available |
| Full Name | Numinous Counseling And Wellness, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6032 Redondo Sierra Vis Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Bryan D Norman (OWNER) |
| Authorized Official Contact | 7039454535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Numinous Counseling And Wellness, Llc 6032 Redondo Sierra Vis Ne Rio Rancho NM 87144-0606 Ph: (703) 945-4535 | Numinous Counseling And Wellness, Llc 6032 Redondo Sierra Vis Ne Rio Rancho NM 87144-0606 Ph: (703) 945-4535 |
| NPI Number | 1669966990 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Medicare PECOS PAC ID | 7517389703 |
|---|---|
| Medicare Enrollment ID | O20200616002649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669966990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Bryan D Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477064962 PECOS PAC ID: 2365702347 Enrollment ID: I20180213000762 |
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