| The Willow Tree Center For Counseling, Psychotherapy, And Clinical Hyp | |
|
3200 Carlisle Blvd Ne Suite 131 Albuquerque NM 87110-1600 | |
| (505) 301-3678 | |
| (505) 792-2277 |
| Full Name | The Willow Tree Center For Counseling, Psychotherapy, And Clinical Hyp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3200 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Shannon Nc Morfeld (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 5053013678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Tree Center For Counseling, Psychotherapy, And Clinical Hyp 5505 Summer Ridge Rd Nw Albuquerque NM 87114-3434 Ph: (505) 301-3678 | The Willow Tree Center For Counseling, Psychotherapy, And Clinical Hyp 3200 Carlisle Blvd Ne Suite 131 Albuquerque NM 87110-1600 Ph: (505) 301-3678 |
| NPI Number | 1538584438 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538584438 | NPI | - | NPPES |
| 40024229 | Medicaid | MO | |
| 25200704 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-06664 (New Mexico) | Primary |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
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