| Transformational Journeys | |
|
620 Teresa Ct Se Rio Rancho NM 87124-2382 | |
| (505) 933-9652 | |
| Not Available |
| Full Name | Transformational Journeys |
|---|---|
| Speciality | Counselor |
| Location | 620 Teresa Ct Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Joann Elizabeth Mitchell (FOUNDER) |
| Authorized Official Contact | 5059339652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Journeys 620 Teresa Ct Se Rio Rancho NM 87124-2382 Ph: (505) 933-9652 | Transformational Journeys 620 Teresa Ct Se Rio Rancho NM 87124-2382 Ph: (505) 933-9652 |
| NPI Number | 1609472299 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 5395158828 |
|---|---|
| Medicare Enrollment ID | O20240221000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609472299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joann Mitchell |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1679173827 PECOS PAC ID: 8123431657 Enrollment ID: I20240221002870 |
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