| Trauma Treatment Center Llc | |
|
1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 | |
| (505) 289-1042 | |
| (505) 466-5895 |
| Full Name | Trauma Treatment Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1316 Jackie Rd Se Ste 900, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kathlene Bunch (OWNER) |
| Authorized Official Contact | 5052891042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Treatment Center Llc 1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 Ph: (505) 289-1042 | Trauma Treatment Center Llc 1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 Ph: (505) 289-1042 |
| NPI Number | 1427567486 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 04/04/2019 |
| Medicare PECOS PAC ID | 9739428301 |
|---|---|
| Medicare Enrollment ID | O20190226000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427567486 | NPI | - | NPPES |
| Provider Name | Alexandrea May Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649724725 PECOS PAC ID: 8224377809 Enrollment ID: I20190226000741 |
| Provider Name | Rachel A Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700193257 PECOS PAC ID: 8527396829 Enrollment ID: I20190824000141 |
| Provider Name | Rebecca Michelle Sonnenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881238202 PECOS PAC ID: 4880023639 Enrollment ID: I20200331001028 |
| Provider Name | Sarah Renee Mcmillan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245590967 PECOS PAC ID: 6103225651 Enrollment ID: I20210603000544 |
| Provider Name | Lyndsey Riordan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720701477 PECOS PAC ID: 2769868058 Enrollment ID: I20221011001152 |
| Provider Name | Reina Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699466862 PECOS PAC ID: 6507213444 Enrollment ID: I20231114002113 |
| Provider Name | Kathlene (kate) Bunch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891119574 PECOS PAC ID: 1456690023 Enrollment ID: I20240220004124 |
| Provider Name | Alexa Nicole Valencia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538947858 PECOS PAC ID: 5991140881 Enrollment ID: I20240301001322 |
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