| Nueva Vida Counseling And Consulting Services Llc | |
|
Nueva Vida Counseling & Consulting Services Llc 1920 7th Street Las Vegas NM 87701 | |
| (505) 429-0905 | |
| (505) 425-2913 |
| Full Name | Nueva Vida Counseling And Consulting Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | Nueva Vida Counseling & Consulting Services Llc, Las Vegas, New Mexico |
| Authorized Official Name and Position | John Michael Tourangeau (OWNER & MENTAL HEALTH PRACTITIONER) |
| Authorized Official Contact | 5054290905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nueva Vida Counseling And Consulting Services Llc Nueva Vida Counseling & Consulting Services Llc 1920 7th Street Las Vegas NM 87701 Ph: (505) 429-0905 | Nueva Vida Counseling And Consulting Services Llc Nueva Vida Counseling & Consulting Services Llc 1920 7th Street Las Vegas NM 87701 Ph: (505) 429-0905 |
| NPI Number | 1851884423 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 2365873619 |
|---|---|
| Medicare Enrollment ID | O20200520003160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851884423 | NPI | - | NPPES |
| 49084364 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C-4248 (New Mexico) | Primary |
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