La Loba Psychotherapy | |
3500 Comanche Ne, Bldg. E Albuquerque NM 87107-4546 | |
(505) 677-4640 | |
Not Available |
Full Name | La Loba Psychotherapy |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3500 Comanche Ne, Bldg. E, Albuquerque, New Mexico |
Authorized Official Name and Position | Renea Been (OWNER) |
Authorized Official Contact | 5056774640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Loba Psychotherapy 4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4475 Ph: () - | La Loba Psychotherapy 3500 Comanche Ne, Bldg. E Albuquerque NM 87107-4546 Ph: (505) 677-4640 |
NPI Number | 1174394308 |
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Provider Enumeration Date | 01/16/2024 |
Last Update Date | 07/09/2024 |
Certification Date | 07/09/2024 |
Identifier | Type | State | Issuer |
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1174394308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
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