Inner Compass Counseling Llc | |
12836 Lomas Blvd Ne Ste C Albuquerque NM 87112-6200 | |
(505) 710-6530 | |
Not Available |
Full Name | Inner Compass Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 12836 Lomas Blvd Ne Ste C, Albuquerque, New Mexico |
Authorized Official Name and Position | David Jefferson Boston (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5057106530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Compass Counseling Llc 12836 Lomas Blvd Ne Ste C Albuquerque NM 87112-6200 Ph: (505) 710-6530 | Inner Compass Counseling Llc 12836 Lomas Blvd Ne Ste C Albuquerque NM 87112-6200 Ph: (505) 710-6530 |
NPI Number | 1568976942 |
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Provider Enumeration Date | 11/22/2017 |
Last Update Date | 01/10/2025 |
Certification Date | 01/10/2025 |
Medicare PECOS PAC ID | 4587109749 |
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Medicare Enrollment ID | O20240711002515 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568976942 | NPI | - | NPPES |
29503795 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Rhiannon L Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639485808 PECOS PAC ID: 8628425014 Enrollment ID: I20231107000543 |
Provider Name | Joann Mitchell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679173827 PECOS PAC ID: 8123431657 Enrollment ID: I20240709000923 |
Provider Name | David Boston |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871726539 PECOS PAC ID: 2668917832 Enrollment ID: I20240711003771 |
Provider Name | Rachel Mondragon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821451527 PECOS PAC ID: 5991240194 Enrollment ID: I20240711004020 |
Provider Name | Sarah Shah |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1437526522 PECOS PAC ID: 6406392422 Enrollment ID: I20240725002344 |
Provider Name | Nevin Marquez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144553066 PECOS PAC ID: 0749726719 Enrollment ID: I20240725004171 |
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