| Sandoval Carpenter Counseling & Wellness Llc | |
|
1717 Gros Ventre Dr Ne Rio Rancho NM 87144-7783 | |
| (505) 350-6643 | |
| Not Available |
| Full Name | Sandoval Carpenter Counseling & Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 1717 Gros Ventre Dr Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Antoinette Marie Sandoval Carpenter (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5053506643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandoval Carpenter Counseling & Wellness Llc 1717 Gros Ventre Dr Ne Rio Rancho NM 87144-7783 Ph: (505) 350-6643 | Sandoval Carpenter Counseling & Wellness Llc 1717 Gros Ventre Dr Ne Rio Rancho NM 87144-7783 Ph: (505) 350-6643 |
| NPI Number | 1558618942 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Medicare PECOS PAC ID | 3072965482 |
|---|---|
| Medicare Enrollment ID | O20240122003431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558618942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0080401 (New Mexico) | Primary |
| Provider Name | Antoinette Sandoval-carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447226030 PECOS PAC ID: 4981056397 Enrollment ID: I20240122003506 |
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