Mandala Behavioral Health | |
7359 Sidewinder Dr Ne Albuquerque NM 87113-1300 | |
(505) 270-3966 | |
Not Available |
Full Name | Mandala Behavioral Health |
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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 |
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Provider Enumeration Date | 04/06/2018 |
Last Update Date | 02/08/2023 |
Certification Date | 02/08/2023 |
Medicare PECOS PAC ID | 6204294945 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750594701 PECOS PAC ID: 5597994046 Enrollment ID: I20140204001203 |
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