| Small Steps Child Counseling, Llc | |
|
1101 Medical Arts Ave Ne Bldg 3 Albuquerque NM 87102-2722 | |
| (505) 933-4639 | |
| (505) 243-9949 |
| Full Name | Small Steps Child Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1101 Medical Arts Ave Ne Bldg 3, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kim Stout (OPERATIONS MANAGER) |
| Authorized Official Contact | 5058042692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Steps Child Counseling, Llc 1101 Medical Arts Ave Ne Bldg 3 Albuquerque NM 87102-2722 Ph: (505) 933-4639 | Small Steps Child Counseling, Llc 1101 Medical Arts Ave Ne Bldg 3 Albuquerque NM 87102-2722 Ph: (505) 933-4639 |
| NPI Number | 1952699654 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 8921322983 |
|---|---|
| Medicare Enrollment ID | O20150122000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952699654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0109871 (New Mexico) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Rebecca E Marianetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457518201 PECOS PAC ID: 1658695622 Enrollment ID: I20150122000084 |
| Provider Name | Nicole A Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669736062 PECOS PAC ID: 4981900982 Enrollment ID: I20160316001538 |
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