| Cassidy Ruth Huffman, | |
|
117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | |
| (575) 472-4311 | |
| (575) 472-4313 |
| Full Name | Cassidy Ruth Huffman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 117 Camino De Vida, Santa Rosa, 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 |
|---|---|---|---|
| 1467750653 | NPI | - | NPPES |
| 23736071 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0174571 (New Mexico) | Primary |
| Entity Name | Huffman Counseling And Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407430861 PECOS PAC ID: 5799126017 Enrollment ID: O20240516002976 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassidy Ruth Huffman, 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Ph: (575) 472-4311 | Cassidy Ruth Huffman, 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Ph: (575) 472-4311 |
Shanycole Martinez, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Theresa L. Romero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Sharon Campos, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Ann Marie Higgins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 | |
Anita Valencia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Fourth St, Santa Rosa, NM 88435 Phone: 575-472-0745 | |
Daniel Edward Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 | |
Rose M Jaramillo, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 |