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 |
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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 |
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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 |
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Provider Enumeration Date | 06/10/2019 |
Last Update Date | 09/21/2021 |
Certification Date | 09/21/2021 |
Medicare PECOS PAC ID | 3779908660 |
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Medicare Enrollment ID | O20200810001885 |
Identifier | Type | State | Issuer |
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1952960312 | NPI | - | NPPES |
Provider Name | Magnolia Beatriz Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720360068 PECOS PAC ID: 4688099575 Enrollment ID: I20200810001951 |
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