| Three Hearts Therapy Llc | |
|
2424 Juan Tabo Blvd Ne Albuquerque NM 87112-1818 | |
| (505) 503-1811 | |
| (505) 274-7338 |
| Full Name | Three Hearts Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2424 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Erin M Collins (PROPRIETOR) |
| Authorized Official Contact | 5055031811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Hearts Therapy Llc 2201 San Pedro Dr Ne Ste 100 Albuquerque NM 87110-4133 Ph: (505) 503-1811 | Three Hearts Therapy Llc 2424 Juan Tabo Blvd Ne Albuquerque NM 87112-1818 Ph: (505) 503-1811 |
| NPI Number | 1235487372 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Medicare PECOS PAC ID | 8527202373 |
|---|---|
| Medicare Enrollment ID | O20140721000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235487372 | NPI | - | NPPES |
| 30552737 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-6807 (New Mexico) | Primary |
| Provider Name | Maria B Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932370137 PECOS PAC ID: 8325224231 Enrollment ID: I20110510000712 |
| Provider Name | Erin Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700111895 PECOS PAC ID: 4082858832 Enrollment ID: I20130917000156 |
| Provider Name | Christine Moore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285116681 PECOS PAC ID: 8325490287 Enrollment ID: I20240117001033 |
| Provider Name | Dan R Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083621049 PECOS PAC ID: 0042655979 Enrollment ID: I20240229003778 |
| Provider Name | Julia Keleher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922260397 PECOS PAC ID: 7113375114 Enrollment ID: I20240314003766 |
| Provider Name | Janalee Barnard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427530179 PECOS PAC ID: 7113375908 Enrollment ID: I20240314004044 |
| Provider Name | Renee Benavidez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013316728 PECOS PAC ID: 9133577927 Enrollment ID: I20240315000321 |
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