| Tess Amy Gaudet, LMHC | |
| 
					735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493  | |
| (505) 866-2356 | |
| (505) 866-2349 | 
| Full Name | Tess Amy Gaudet | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 735 Don Pasqual Rd Nw, Los Lunas, 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 | 
|---|---|---|---|
| 1083954937 | NPI | - | NPPES | 
| 44842 | Medicaid | NM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | T-0150541 (New Mexico) | Primary | 
| Entity Name | Wholeistic Mental And Physical Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134442270 PECOS PAC ID: 7618140633 Enrollment ID: O20111107000636  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tess Amy Gaudet, LMHC Po Box 518, Los Lunas, NM 87031-0518 Ph: (505) 866-2356  | Tess Amy Gaudet, LMHC 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 Ph: (505) 866-2356  | 
David Young, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318  | |
Ryan Mcnamara,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Highway 314 Ne, Los Lunas, NM 87031 Phone: 505-944-6626  | |
Jennifer Ferry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739  | |
Jo Ann Brito-riel,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Camino Del Rey Ste B, Los Lunas, NM 87031 Phone: 505-222-0814 Fax: 505-222-0873  | |
Craig Schimke, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739  | |
Gloria Galvan-caes, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318  | |
Emma Ortega, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 Luna St Se, Los Lunas, NM 87031 Phone: 505-565-1619 Fax: 505-565-1620  |