| Hope Rising New Mexico | |
|
11312 Canyonlands Rd Se Albuquerque NM 87123-5797 | |
| (505) 280-0193 | |
| Not Available |
| Full Name | Hope Rising New Mexico |
|---|---|
| Speciality | Social Worker |
| Location | 11312 Canyonlands Rd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Audra Hays (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 5052800193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Rising New Mexico 11312 Canyonlands Rd Se Albuquerque NM 87123-5797 Ph: (505) 280-0193 | Hope Rising New Mexico 11312 Canyonlands Rd Se Albuquerque NM 87123-5797 Ph: (505) 280-0193 |
| NPI Number | 1255174785 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 09/21/2024 |
| Certification Date | 09/21/2024 |
| Medicare PECOS PAC ID | 2961933676 |
|---|---|
| Medicare Enrollment ID | O20241006000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255174785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Audra Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194120162 PECOS PAC ID: 3577005107 Enrollment ID: I20240611000358 |
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