| New Mexico Crisis Counseling Llc | |
|
2676 Maricopa Dr Se Rio Rancho NM 87124-3948 | |
| (505) 903-6309 | |
| (505) 672-7769 |
| Full Name | New Mexico Crisis Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2676 Maricopa Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Gayle Ellen Porter (OWNER) |
| Authorized Official Contact | 5052252996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Crisis Counseling Llc 2676 Maricopa Dr Se Rio Rancho NM 87124-3948 Ph: (505) 225-2996 | New Mexico Crisis Counseling Llc 2676 Maricopa Dr Se Rio Rancho NM 87124-3948 Ph: (505) 903-6309 |
| NPI Number | 1710684154 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8527409002 |
|---|---|
| Medicare Enrollment ID | O20240515001492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710684154 | NPI | - | NPPES |
| Provider Name | Gayle Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114324035 PECOS PAC ID: 9436590916 Enrollment ID: I20240515001830 |
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