| The Center For Life Changes | |
|
3321b Candelaria Rd Ne Ste 310 Albuquerque NM 87107-1908 | |
| (505) 482-7252 | |
| (505) 554-3435 |
| Full Name | The Center For Life Changes |
|---|---|
| Speciality | Counselor |
| Location | 3321b Candelaria Rd Ne Ste 310, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alex Babani (OWNER/MEMBER) |
| Authorized Official Contact | 5054927252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Life Changes 3321b Candelaria Rd Ne Ste 310 Albuquerque NM 87107-1908 Ph: (505) 792-7252 | The Center For Life Changes 3321b Candelaria Rd Ne Ste 310 Albuquerque NM 87107-1908 Ph: (505) 482-7252 |
| NPI Number | 1689147621 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 2062865066 |
|---|---|
| Medicare Enrollment ID | O20240125003665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689147621 | NPI | - | NPPES |
| 29502047 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jean Louise Ramsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518425065 PECOS PAC ID: 1850744913 Enrollment ID: I20240125001887 |
| Provider Name | Alexander I Babani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326346214 PECOS PAC ID: 5890147003 Enrollment ID: I20240126003363 |
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