| Rational Lifestyle Consulting Llc | |
|
310 S Lea Ave Roswell NM 88203-4562 | |
| (505) 269-4155 | |
| Not Available |
| Full Name | Rational Lifestyle Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 310 S Lea Ave, Roswell, New Mexico |
| Authorized Official Name and Position | Rhonda R Gutierrez (OWNER) |
| Authorized Official Contact | 5052694155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rational Lifestyle Consulting Llc 310 S Lea Ave Roswell NM 88203-4562 Ph: (505) 269-4155 | Rational Lifestyle Consulting Llc 310 S Lea Ave Roswell NM 88203-4562 Ph: (505) 269-4155 |
| NPI Number | 1952851271 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 9739522988 |
|---|---|
| Medicare Enrollment ID | O20240205003899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952851271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0132951 (New Mexico) | Primary |
| Provider Name | Rhonda Rochelle Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609107085 PECOS PAC ID: 0648613893 Enrollment ID: I20240205004023 |
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