| Mrs Shelley Sue Stisser, LPC | |
| 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109-3155 | |
| (505) 856-0300 | |
| (505) 856-7946 | 
| Full Name | Mrs Shelley Sue Stisser | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 8205 Spain Rd Ne Ste 106, Albuquerque, 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 | 
|---|---|---|---|
| 1003061946 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC12877 (Arizona) | Secondary | 
| 101YM0800X | Counselor - Mental Health | 0155941 (New Mexico) | Primary | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Shelley Sue Stisser, LPC 9342 S 182nd Ln, Goodyear, AZ 85338-5254 Ph: (623) 810-7266 | Mrs Shelley Sue Stisser, LPC 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109-3155 Ph: (505) 856-0300 | 
| Ms. Lori M Ortiz, M.A. LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Of Nm Bldg73, Msc-06-3870, Albuquerque, NM 87131 Phone: 505-277-3136 Fax: 505-277-2020 | |
| Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
| Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
| Ms. Ramona Floyd,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
| Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473 | |
| Julie Marie Raborn,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503 |