| Tri Peak Behavioral Health Llc | |
|
4316 Carlisle Blvd Ne Ste D Albuquerque NM 87107-4829 | |
| (505) 920-3054 | |
| Not Available |
| Full Name | Tri Peak Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4316 Carlisle Blvd Ne Ste D, Albuquerque, New Mexico |
| Authorized Official Name and Position | Matthias A Dietrich (OWNER) |
| Authorized Official Contact | 5059203054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Peak Behavioral Health Llc 6213 Loftus Ave Ne Albuquerque NM 87109-2715 Ph: () - | Tri Peak Behavioral Health Llc 4316 Carlisle Blvd Ne Ste D Albuquerque NM 87107-4829 Ph: (505) 920-3054 |
| NPI Number | 1215762208 |
|---|---|
| Provider Enumeration Date | 09/07/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215762208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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