| Antoinette Sandoval-carpenter, LPCC | |
|
1717 Gros Ventre Dr Ne, Rio Rancho, NM 87144-7783 | |
| (505) 350-6643 | |
| Not Available |
| Full Name | Antoinette Sandoval-carpenter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1717 Gros Ventre Dr Ne, Rio Rancho, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447226030 | NPI | - | NPPES |
| 86284720 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0080401 (New Mexico) | Primary |
| Entity Name | Sandoval Carpenter Counseling & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558618942 PECOS PAC ID: 3072965482 Enrollment ID: O20240122003431 |
| Mailing Address | Practice Location Address |
|---|---|
| Antoinette Sandoval-carpenter, LPCC 12 Unser Blvd Se, Rio Rancho, NM 87124-6300 Ph: (505) 896-2520 | Antoinette Sandoval-carpenter, LPCC 1717 Gros Ventre Dr Ne, Rio Rancho, NM 87144-7783 Ph: (505) 350-6643 |
Jennifer Marie Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Donny Raymond Pospishil-irizarry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 Fax: 505-896-0478 | |
Gary Allen Ritter, LPCC, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Barbara Loop Se, Rio Rancho, NM 87124 Phone: 505-702-8547 | |
Janice Norman, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Lorrissa Short, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Unser Blvd Se Ste C, Rio Rancho, NM 87124 Phone: 505-636-6100 | |
Sulema Perales, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124 Phone: 505-419-8885 Fax: 505-212-0041 | |
Mr. Kenneth Lee Davis, CPSW, CPSC, MSD, DD Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 Fax: 504-994-0209 |