| Love Is Healing, Llc | |
|
120 Dartmouth Dr Se Apt D Albuquerque NM 87106-2261 | |
| (505) 333-9042 | |
| Not Available |
| Full Name | Love Is Healing, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Dartmouth Dr Se Apt D, Albuquerque, New Mexico |
| Authorized Official Name and Position | Magnolia Beatriz Gonzalez Heaton (FOUNDER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5053339042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Is Healing, Llc 120 Dartmouth Dr Se Apt D Albuquerque NM 87106-2261 Ph: (505) 333-9042 | Love Is Healing, Llc 120 Dartmouth Dr Se Apt D Albuquerque NM 87106-2261 Ph: (505) 333-9042 |
| NPI Number | 1952960312 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Medicare PECOS PAC ID | 3779908660 |
|---|---|
| Medicare Enrollment ID | O20200810001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952960312 | NPI | - | NPPES |
| Provider Name | Magnolia Beatriz Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720360068 PECOS PAC ID: 4688099575 Enrollment ID: I20200810001951 |
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