| New Experiences Counseling And Consultation, Llc | |
|
2727 San Pedro Dr Ne Ste 110 Albuquerque NM 87110-3373 | |
| (505) 670-7765 | |
| Not Available |
| Full Name | New Experiences Counseling And Consultation, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2727 San Pedro Dr Ne Ste 110, Albuquerque, New Mexico |
| Authorized Official Name and Position | Tiffany Wynn (OWNER) |
| Authorized Official Contact | 5056707765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Experiences Counseling And Consultation, Llc 5105 Royene Ave Ne Albuquerque NM 87110-5841 Ph: (505) 670-7765 | New Experiences Counseling And Consultation, Llc 2727 San Pedro Dr Ne Ste 110 Albuquerque NM 87110-3373 Ph: (505) 670-7765 |
| NPI Number | 1679330138 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 8527505999 |
|---|---|
| Medicare Enrollment ID | O20240802001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679330138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tiffany Ambrose Wynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225404437 PECOS PAC ID: 9436696804 Enrollment ID: I20240802001541 |
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