| Mountain Pass Counseling, Llc | |
|
11930 Menaul Blvd Ne Ste 114-a Albuquerque NM 87112-2478 | |
| (262) 617-6446 | |
| Not Available |
| Full Name | Mountain Pass Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11930 Menaul Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Diane Marie Bast (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2626176446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Pass Counseling, Llc 30 Kingfisher Ln Tijeras NM 87059-7432 Ph: (262) 617-6446 | Mountain Pass Counseling, Llc 11930 Menaul Blvd Ne Ste 114-a Albuquerque NM 87112-2478 Ph: (262) 617-6446 |
| NPI Number | 1972977015 |
|---|---|
| Provider Enumeration Date | 11/29/2015 |
| Last Update Date | 11/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972977015 | NPI | - | NPPES |
| 43711500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0174601 (New Mexico) | Primary |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3908 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 505-903-0927 |