Rio Grande Emdr Therapy, Llc | |
2900 Louisiana Blvd Ne Ste 210 Albuquerque NM 87110-3569 | |
(505) 304-9431 | |
Not Available |
Full Name | Rio Grande Emdr Therapy, Llc |
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Speciality | Community/Behavioral Health |
Location | 2900 Louisiana Blvd Ne Ste 210, Albuquerque, New Mexico |
Authorized Official Name and Position | Sarah Penn (OWNER) |
Authorized Official Contact | 5053049431 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rio Grande Emdr Therapy, Llc 2900 Louisiana Blvd Ne Ste 210 Albuquerque NM 87110-3569 Ph: (505) 304-9431 | Rio Grande Emdr Therapy, Llc 2900 Louisiana Blvd Ne Ste 210 Albuquerque NM 87110-3569 Ph: (505) 304-9431 |
NPI Number | 1861090342 |
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Provider Enumeration Date | 10/15/2020 |
Last Update Date | 04/12/2021 |
Certification Date | 04/12/2021 |
Medicare PECOS PAC ID | 9739582016 |
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Medicare Enrollment ID | O20210723001781 |
Identifier | Type | State | Issuer |
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1861090342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Oshanna Washington |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396211777 PECOS PAC ID: 0547663825 Enrollment ID: I20210723001821 |
Provider Name | Jennifer Nelson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639648736 PECOS PAC ID: 9931594975 Enrollment ID: I20220309002983 |
Provider Name | Christine Sande |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356751226 PECOS PAC ID: 1052798303 Enrollment ID: I20220506002074 |
Provider Name | Sarah Penn |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144658204 PECOS PAC ID: 1557764834 Enrollment ID: I20231204001003 |
Provider Name | Linda Cochrum |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245656115 PECOS PAC ID: 8022468842 Enrollment ID: I20231220000696 |
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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