| Mandala Behavioral Health | |
|
7359 Sidewinder Dr Ne Albuquerque NM 87113-1300 | |
| (505) 270-3966 | |
| Not Available |
| Full Name | Mandala Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 7359 Sidewinder Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Barbara Hope (OWNER) |
| Authorized Official Contact | 5752241132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandala Behavioral Health Po Box 381 Taos NM 87571-0381 Ph: (575) 224-1132 | Mandala Behavioral Health 7359 Sidewinder Dr Ne Albuquerque NM 87113-1300 Ph: (505) 270-3966 |
| NPI Number | 1962909028 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Medicare PECOS PAC ID | 6204294945 |
|---|---|
| Medicare Enrollment ID | O20230628000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962909028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | SW8558 (Florida) | Secondary |
| Provider Name | Barbara Hope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750594701 PECOS PAC ID: 5597994046 Enrollment ID: I20140204001203 |
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