Life Skills Learning Center | |
1200 Thornton St Ste A Clovis NM 88101-5508 | |
(575) 763-4400 | |
(575) 935-0400 |
Full Name | Life Skills Learning Center |
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Speciality | Counselor |
Location | 1200 Thornton St Ste A, Clovis, New Mexico |
Authorized Official Name and Position | Steve Reshetar (DIRECTOR) |
Authorized Official Contact | 5757634400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Life Skills Learning Center 1200 Thornton St Ste A Clovis NM 88101-5508 Ph: (575) 763-4400 | Life Skills Learning Center 1200 Thornton St Ste A Clovis NM 88101-5508 Ph: (575) 763-4400 |
NPI Number | 1609001684 |
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Provider Enumeration Date | 05/20/2009 |
Last Update Date | 05/08/2021 |
Certification Date | 05/08/2021 |
Medicare PECOS PAC ID | 1951647148 |
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Medicare Enrollment ID | O20190109000648 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609001684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0153271 (New Mexico) | Primary |
Provider Name | Christine Martinez-guajardo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205126364 PECOS PAC ID: 7517203722 Enrollment ID: I20190109001318 |
Provider Name | Erin Martinez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982166575 PECOS PAC ID: 3072900836 Enrollment ID: I20220506000880 |
Provider Name | Melanie Jimenez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073758074 PECOS PAC ID: 8729443619 Enrollment ID: I20230622001187 |
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