| Integrate Wellness Counseling Llc | |
|
120 Aliso Dr Se Albuquerque NM 87108-2693 | |
| (505) 600-2314 | |
| (866) 635-1177 |
| Full Name | Integrate Wellness Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 120 Aliso Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Elizabeth Diesel (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5056002314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrate Wellness Counseling Llc Po Box 36072 Albuquerque NM 87176-6072 Ph: (505) 600-2314 | Integrate Wellness Counseling Llc 120 Aliso Dr Se Albuquerque NM 87108-2693 Ph: (505) 600-2314 |
| NPI Number | 1376232934 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 5092257790 |
|---|---|
| Medicare Enrollment ID | O20240610002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376232934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Diesel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659770246 PECOS PAC ID: 6901348606 Enrollment ID: I20240610002895 |
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