Smart Perspectives Llc | |
1909 Cuba Ave Ste 1 Alamogordo NM 88310-5646 | |
(575) 404-1593 | |
(575) 404-1593 |
Full Name | Smart Perspectives Llc |
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Speciality | Counselor |
Location | 1909 Cuba Ave Ste 1, Alamogordo, New Mexico |
Authorized Official Name and Position | Nicholas Aaron Russell (CCO (CHIEF COUNSELING OFFICER)) |
Authorized Official Contact | 5754954526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smart Perspectives Llc 3122 Summer Ave Alamogordo NM 88310-4062 Ph: (575) 404-1593 | Smart Perspectives Llc 1909 Cuba Ave Ste 1 Alamogordo NM 88310-5646 Ph: (575) 404-1593 |
NPI Number | 1659063600 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 08/16/2023 |
Certification Date | 08/16/2023 |
Medicare PECOS PAC ID | 5991158784 |
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Medicare Enrollment ID | O20240129001230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659063600 | NPI | - | NPPES |
06258204 | Medicaid | NM |
Provider Name | Jacqueline Russell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194267419 PECOS PAC ID: 5193155869 Enrollment ID: I20200420002979 |
Provider Name | Nicholas Aaron Russell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588984603 PECOS PAC ID: 6800249699 Enrollment ID: I20240129001653 |
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