Renewnm Therapy, Inc. | |
6330 Riverside Plaza Ln Nw Ste 210 Albuquerque NM 87120-2682 | |
(505) 207-8580 | |
Not Available |
Full Name | Renewnm Therapy, Inc. |
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Speciality | Counselor |
Location | 6330 Riverside Plaza Ln Nw Ste 210, Albuquerque, New Mexico |
Authorized Official Name and Position | Steve Keene (OWNER) |
Authorized Official Contact | 5052078580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renewnm Therapy, Inc. 4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4475 Ph: (505) 207-8580 | Renewnm Therapy, Inc. 6330 Riverside Plaza Ln Nw Ste 210 Albuquerque NM 87120-2682 Ph: (505) 207-8580 |
NPI Number | 1902585169 |
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Provider Enumeration Date | 07/14/2023 |
Last Update Date | 10/04/2024 |
Certification Date | 10/04/2024 |
Medicare PECOS PAC ID | 6901243088 |
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Medicare Enrollment ID | O20240325003086 |
Identifier | Type | State | Issuer |
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1902585169 | NPI | - | NPPES |
Provider Name | Lindsey Barela |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740573450 PECOS PAC ID: 5294174603 Enrollment ID: I20240502001583 |
Provider Name | Angela Porter |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811240294 PECOS PAC ID: 6204378342 Enrollment ID: I20240605000512 |
Provider Name | Laura Ross Wood |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174294532 PECOS PAC ID: 5294277083 Enrollment ID: I20240607002370 |
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