| Worthy Of Space Counseling Llc | |
|
306 Washington St Se # 87108 Albuquerque NM 87108-2735 | |
| (505) 577-8473 | |
| Not Available |
| Full Name | Worthy Of Space Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 Washington St Se # 87108, Albuquerque, New Mexico |
| Authorized Official Name and Position | Monique Rivera (SOCIAL WORKER) |
| Authorized Official Contact | 5055778473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worthy Of Space Counseling Llc 1600 January Dr Rio Communities NM 87002-7010 Ph: () - | Worthy Of Space Counseling Llc 306 Washington St Se # 87108 Albuquerque NM 87108-2735 Ph: (505) 577-8473 |
| NPI Number | 1114652070 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 5395115604 |
|---|---|
| Medicare Enrollment ID | O20230103001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114652070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Monique Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104390244 PECOS PAC ID: 0648640953 Enrollment ID: I20230105000396 |
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