| Renewnm Therapy, Inc. | |
|
4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4475 | |
| (505) 633-3183 | |
| Not Available |
| Full Name | Renewnm Therapy, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4801 Lang Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lindsey Barela (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 5056333183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewnm Therapy, Inc. 4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4475 Ph: () - | Renewnm Therapy, Inc. 4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4475 Ph: (505) 633-3183 |
| NPI Number | 1902585169 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 6901243088 |
|---|---|
| Medicare Enrollment ID | O20240325003086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902585169 | NPI | - | NPPES |
| Provider Name | Lindsey Barela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740573450 PECOS PAC ID: 5294174603 Enrollment ID: I20240502001583 |
| Provider Name | Angela Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811240294 PECOS PAC ID: 6204378342 Enrollment ID: I20240605000512 |
| Provider Name | Laura Ross Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174294532 PECOS PAC ID: 5294277083 Enrollment ID: I20240607002370 |
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