| Mindful Counseling Llc | |
|
4619 Greene St Nw Ste C Albuquerque NM 87114-4899 | |
| (505) 899-9329 | |
| Not Available |
| Full Name | Mindful Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4619 Greene St Nw Ste C, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michelle Knight (OWNER) |
| Authorized Official Contact | 5058999329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Counseling Llc 4619 Greene St Nw Ste C Albuquerque NM 87114-4899 Ph: (505) 899-9329 | Mindful Counseling Llc 4619 Greene St Nw Ste C Albuquerque NM 87114-4899 Ph: (505) 899-9329 |
| NPI Number | 1831420876 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Medicare PECOS PAC ID | 7113391319 |
|---|---|
| Medicare Enrollment ID | O20230412002054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831420876 | NPI | - | NPPES |
| 97052370 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
| Provider Name | Michelle Lucia Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801320239 PECOS PAC ID: 4688929953 Enrollment ID: I20180611001511 |
| Provider Name | Samantha C Parker Zillich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710402680 PECOS PAC ID: 9638567480 Enrollment ID: I20211027001063 |
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