| Rachelle Mechenbier Llc | |
|
1014 Lomas Blvd Nw Albuquerque NM 87102-1945 | |
| (505) 710-5516 | |
| Not Available |
| Full Name | Rachelle Mechenbier Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1014 Lomas Blvd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rachelle Mechenbier (MEMBER) |
| Authorized Official Contact | 5057105516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachelle Mechenbier Llc 1014 Lomas Blvd Nw Albuquerque NM 87102-1945 Ph: (505) 710-5516 | Rachelle Mechenbier Llc 1014 Lomas Blvd Nw Albuquerque NM 87102-1945 Ph: (505) 710-5516 |
| NPI Number | 1831503796 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 6901349992 |
|---|---|
| Medicare Enrollment ID | O20240618004200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831503796 | NPI | - | NPPES |
| 1730112483 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0164981 (New Mexico) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rachelle E Mechenbier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164703518 PECOS PAC ID: 7719420702 Enrollment ID: I20240624003012 |
| Provider Name | Patricia Mary Lake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457332835 PECOS PAC ID: 3971044876 Enrollment ID: I20240918004808 |
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