The Family Connection Llc | |
6001 Whiteman Dr Nw Albuquerque NM 87120-2196 | |
(505) 717-1155 | |
(505) 717-1473 |
Full Name | The Family Connection Llc |
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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 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 12/27/2023 |
Certification Date | 12/27/2023 |
Medicare PECOS PAC ID | 0941647085 |
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Medicare Enrollment ID | O20240325001818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790970879 | NPI | - | NPPES |
50239279 | Medicaid | NM |
Provider Name | Amanda S Davison |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1669560637 PECOS PAC ID: 1355788944 Enrollment ID: I20240319000303 |
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