| New Roots Counseling Llc | |
|
1127 Waldie Rd Sw Albuquerque NM 87105-3782 | |
| (505) 553-5281 | |
| Not Available |
| Full Name | New Roots Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1127 Waldie Rd Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sherri S Francis (OWNER) |
| Authorized Official Contact | 5055535281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Roots Counseling Llc Po Box 27523 Albuquerque NM 87125-7523 Ph: (505) 553-5281 | New Roots Counseling Llc 1127 Waldie Rd Sw Albuquerque NM 87105-3782 Ph: (505) 553-5281 |
| NPI Number | 1619513322 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Medicare PECOS PAC ID | 3971932427 |
|---|---|
| Medicare Enrollment ID | O20200403000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619513322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherri Suzanna Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043537590 PECOS PAC ID: 6901134782 Enrollment ID: I20190819002565 |
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