| Time 4 Change, Llc | |
|
19525 Tomas Lane Espanola NM 87532 | |
| (505) 709-0608 | |
| Not Available |
| Full Name | Time 4 Change, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19525 Tomas Lane, Espanola, New Mexico |
| Authorized Official Name and Position | Troy Campbell (PROVIDER) |
| Authorized Official Contact | 5057090608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Time 4 Change, Llc Po Box 2212 Espanola NM 87532-2212 Ph: (505) 709-0608 | Time 4 Change, Llc 19525 Tomas Lane Espanola NM 87532 Ph: (505) 709-0608 |
| NPI Number | 1255071304 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255071304 | NPI | - | NPPES |
| 1437615564 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Peak Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1316 Calle Adelante, Espanola, NM 87532 Phone: 575-589-6720 | |
Superhealth, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Lumbre Del Sol, Espanola, NM 87532 Phone: 505-699-6505 | |
Rio Arriba County Hhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-3143 | |
Guillermina Osoria Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 S Riverside Dr Ste G, Espanola, NM 87532 Phone: 505-595-4848 Fax: 888-504-0115 | |
Crisis Center Of Nnm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 577 El Llano Rd, Espanola, NM 87532 Phone: 505-753-1656 Fax: 505-753-7743 | |
Simran Center For Health & Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Shady Ln, Espanola, NM 87532 Phone: 505-753-4692 |