| Manzano Mountain Counseling Llc | |
|
1011 Allen Avenue West Estancia NM 87016 | |
| (505) 818-7881 | |
| Not Available |
| Full Name | Manzano Mountain Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1011 Allen Avenue West, Estancia, New Mexico |
| Authorized Official Name and Position | Rosalind Gumaer (AUTHORIZED AGENT) |
| Authorized Official Contact | 5187553758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzano Mountain Counseling Llc Hc 66 Box 335 Mountainair NM 87036-9605 Ph: (505) 818-7881 | Manzano Mountain Counseling Llc 1011 Allen Avenue West Estancia NM 87016 Ph: (505) 818-7881 |
| NPI Number | 1619488608 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619488608 | NPI | - | NPPES |
| 111575365 | Other | NY | SOLUTIONS, A BRIEF THERAPY CENTER LLC |
| 1861738924 | Other | NM | VALENCIA COUNSELING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C-09413 (New Mexico) | Primary |
| 101YM0800X | Counselor - Mental Health | I-08197 (New Mexico) | Secondary |
Outside The Box Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Audra Loop, Estancia, NM 87016 Phone: 505-750-0105 | |
4 Winds Equestrian Retreat & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9031 Hwy 337 South, Estancia, NM 87016 Phone: 505-384-1831 Fax: 505-384-3238 |