Transformative Counseling Center Llc | |
5111 San Mateo Blvd Ne Suite B-2 Albuquerque NM 87109-2412 | |
(505) 238-7468 | |
Not Available |
Full Name | Transformative Counseling Center Llc |
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Speciality | Community/behavioral Health |
Location | 5111 San Mateo Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Diane C Chavez (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 5052387468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Transformative Counseling Center Llc 737 Loma Pinon Loop Ne Rio Rancho NM 87144-0588 Ph: (505) 238-7468 | Transformative Counseling Center Llc 5111 San Mateo Blvd Ne Suite B-2 Albuquerque NM 87109-2412 Ph: (505) 238-7468 |
NPI Number | 1912156654 |
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Provider Enumeration Date | 09/18/2008 |
Last Update Date | 08/04/2014 |
Identifier | Type | State | Issuer |
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1912156654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0105091 (New Mexico) | Primary |
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