The Bridge Counseling, Llc | |
214 E Main St Tucumcari NM 88401-2223 | |
(575) 799-1691 | |
Not Available |
Full Name | The Bridge Counseling, Llc |
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Speciality | Social Worker |
Location | 214 E Main St, Tucumcari, New Mexico |
Authorized Official Name and Position | Pamela Slater (OWNER) |
Authorized Official Contact | 5757991691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Bridge Counseling, Llc 255 Magnolia Rd Newkirk NM 88431-9001 Ph: (575) 799-1691 | The Bridge Counseling, Llc 214 E Main St Tucumcari NM 88401-2223 Ph: (575) 799-1691 |
NPI Number | 1275246688 |
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Provider Enumeration Date | 12/30/2022 |
Last Update Date | 05/30/2023 |
Certification Date | 05/30/2023 |
Medicare PECOS PAC ID | 8921469073 |
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Medicare Enrollment ID | O20230804002390 |
Identifier | Type | State | Issuer |
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1275246688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Marilyn K Truelock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316380884 PECOS PAC ID: 4284019175 Enrollment ID: I20220913001853 |
Provider Name | Pamela Slater |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447483896 PECOS PAC ID: 8426297607 Enrollment ID: I20230804002840 |
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