| Enchantment Counseling | |
|
6300 Montano Rd Nw Ste G1 Albuquerque NM 87120-1826 | |
| (505) 999-0203 | |
| (505) 999-0203 |
| Full Name | Enchantment Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 6300 Montano Rd Nw Ste G1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jocelyn Quintana (BILLER) |
| Authorized Official Contact | 5059990203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enchantment Counseling 6300 Montano Rd Nw Ste G1 Albuquerque NM 87120-1826 Ph: (505) 999-0203 | Enchantment Counseling 6300 Montano Rd Nw Ste G1 Albuquerque NM 87120-1826 Ph: (505) 999-0203 |
| NPI Number | 1770175234 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Medicare PECOS PAC ID | 2567877426 |
|---|---|
| Medicare Enrollment ID | O20210226001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770175234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Don W Hedges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386803864 PECOS PAC ID: 0345498432 Enrollment ID: I20120914000254 |
| Provider Name | Sara Hurtado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811207681 PECOS PAC ID: 3870717002 Enrollment ID: I20140610000909 |
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