| Meagan A Russell, | |
|
321 Commerce Way, Clovis, NM 88101-4750 | |
| (575) 935-6262 | |
| Not Available |
| Full Name | Meagan A Russell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 1 Years |
| Location | 321 Commerce Way, Clovis, New Mexico |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629707393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CTB-2025-0116 (New Mexico) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Agape Counseling, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245955111 PECOS PAC ID: 7810337151 Enrollment ID: O20240502003394 |
| Mailing Address | Practice Location Address |
|---|---|
| Meagan A Russell, 321 Commerce Way, Clovis, NM 88101-4750 Ph: (575) 935-6262 | Meagan A Russell, 321 Commerce Way, Clovis, NM 88101-4750 Ph: (575) 935-6262 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |
Kathy J Perales, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |