| Prickly Pear Therapy, Llc | |
|
6516 Sandia Vista Pl Ne Rio Rancho NM 87144-1533 | |
| (505) 417-4752 | |
| Not Available |
| Full Name | Prickly Pear Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6516 Sandia Vista Pl Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Michelle Chavez (OWNER) |
| Authorized Official Contact | 5054174752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prickly Pear Therapy, Llc 6516 Sandia Vista Pl Ne Rio Rancho NM 87144-1533 Ph: (505) 417-4752 | Prickly Pear Therapy, Llc 6516 Sandia Vista Pl Ne Rio Rancho NM 87144-1533 Ph: (505) 417-4752 |
| NPI Number | 1265279145 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 4486189164 |
|---|---|
| Medicare Enrollment ID | O20241119002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265279145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255717112 PECOS PAC ID: 3870968902 Enrollment ID: I20230403002860 |
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