| Ideas, Llc | |
|
1803 Carlisle Blvd Ne Albuquerque NM 87110-4905 | |
| (505) 301-3820 | |
| (866) 244-8607 |
| Full Name | Ideas, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1803 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mary Ann Landry (PROVIDER) |
| Authorized Official Contact | 5053013820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideas, Llc Po Box 81853 Albuquerque NM 87198-1853 Ph: (505) 301-3820 | Ideas, Llc 1803 Carlisle Blvd Ne Albuquerque NM 87110-4905 Ph: (505) 301-3820 |
| NPI Number | 1669765319 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669765319 | NPI | - | NPPES |
| 101637 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1158 (New Mexico) | Primary |
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