| Mountain Movers Family Therapy, Pc | |
|
312 N Broadway St Truth Or Consequences NM 87901-2834 | |
| (575) 740-0719 | |
| Not Available |
| Full Name | Mountain Movers Family Therapy, Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 312 N Broadway St, Truth Or Consequences, New Mexico |
| Authorized Official Name and Position | Jonna Smith (OWNER) |
| Authorized Official Contact | 5757400719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Movers Family Therapy, Pc 312 N Broadway St Truth Or Consequences NM 87901-2834 Ph: (575) 740-0719 | Mountain Movers Family Therapy, Pc 312 N Broadway St Truth Or Consequences NM 87901-2834 Ph: (575) 740-0719 |
| NPI Number | 1669101978 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 0840723409 |
|---|---|
| Medicare Enrollment ID | O20241104003412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669101978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jonna Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619445822 PECOS PAC ID: 1759814312 Enrollment ID: I20241104003567 |
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