| Outside The Box Counseling | |
|
4 Audra Loop Estancia NM 87016 | |
| (505) 750-0105 | |
| Not Available |
| Full Name | Outside The Box Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4 Audra Loop, Estancia, New Mexico |
| Authorized Official Name and Position | Jennifer Nelson (THERAPIST) |
| Authorized Official Contact | 5057500105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside The Box Counseling Po Box 1080 Estancia NM 87016-1080 Ph: (505) 750-0105 | Outside The Box Counseling 4 Audra Loop Estancia NM 87016 Ph: (505) 750-0105 |
| NPI Number | 1114686649 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114686649 | NPI | - | NPPES |
| 39077560 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
4 Winds Equestrian Retreat & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9031 Hwy 337 South, Estancia, NM 87016 Phone: 505-384-1831 Fax: 505-384-3238 | |
Manzano Mountain Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Allen Avenue West, Estancia, NM 87016 Phone: 505-818-7881 |