| The Family Connection Llc | |
|
6001 Whiteman Dr Nw Albuquerque NM 87120-2196 | |
| (505) 717-1155 | |
| (505) 717-1473 |
| Full Name | The Family Connection Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6001 Whiteman Dr Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Amanda S Davison (CEO) |
| Authorized Official Contact | 5057171155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Connection Llc 2441 Cabezon Blvd Se Rio Rancho NM 87124 Ph: (505) 717-1155 | The Family Connection Llc 6001 Whiteman Dr Nw Albuquerque NM 87120-2196 Ph: (505) 717-1155 |
| NPI Number | 1790970879 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 0941647085 |
|---|---|
| Medicare Enrollment ID | O20240325001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790970879 | NPI | - | NPPES |
| 50239279 | Medicaid | NM |
| Provider Name | Amanda S Davison |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669560637 PECOS PAC ID: 1355788944 Enrollment ID: I20240319000303 |
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