| One In Ninety 9 Christian Therapy Llc | |
|
2202 San Pedro Dr. Ne Building #2 Suite 100 Albuquerque NM 87110 | |
| (505) 450-5475 | |
| Not Available |
| Full Name | One In Ninety 9 Christian Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 2202 San Pedro Dr. Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Natalie Ann Hess (OWNER) |
| Authorized Official Contact | 5054505475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One In Ninety 9 Christian Therapy Llc 601 Menaul Blvd Ne Unit 1806 Albuquerque NM 87107-1577 Ph: (505) 450-5475 | One In Ninety 9 Christian Therapy Llc 2202 San Pedro Dr. Ne Building #2 Suite 100 Albuquerque NM 87110 Ph: (505) 450-5475 |
| NPI Number | 1467142331 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 2860847324 |
|---|---|
| Medicare Enrollment ID | O20231018002713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467142331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Natalie A Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861703407 PECOS PAC ID: 6002122561 Enrollment ID: I20150828000308 |
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