| Hailey Chavez, LMFT | |
|
4253 Montgomery Blvd Ne Ste G130, Albuquerque, NM 87109-1106 | |
| (505) 554-1283 | |
| Not Available |
| Full Name | Hailey Chavez |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 4253 Montgomery Blvd Ne Ste G130, 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 |
|---|---|---|---|
| 1396348306 | NPI | - | NPPES |
| 45957819 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | CAMF0214301 (New Mexico) | Primary |
| Entity Name | Grace Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821561911 PECOS PAC ID: 8820441371 Enrollment ID: O20240131002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey Chavez, LMFT 4273 Montgomery Blvd Ne Ste K220, Albuquerque, NM 87109-6748 Ph: (505) 554-1283 | Hailey Chavez, LMFT 4253 Montgomery Blvd Ne Ste G130, Albuquerque, NM 87109-1106 Ph: (505) 554-1283 |
Ms. Carol Sue Brusca, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5601 Domingo Rd Ne, Albuquerque, NM 87108 Phone: 505-268-5295 Fax: 505-268-9967 | |
Kate S. Godsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4619 Greene St Nw Ste C, Albuquerque, NM 87114 Phone: 415-928-9004 | |
Juan Edward Sanchez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9502 4th St Nw, Albuquerque, NM 87114 Phone: 505-250-3672 | |
Mr. Paul Depetro, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5124 Northern Trl Nw, Albuquerque, NM 87120 Phone: 505-681-0549 | |
Ms. Marnie I Sadek, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2741 Indian School Rd Ne, Albuquerque, NM 87106 Phone: 505-710-9299 Fax: 505-255-7890 | |
Gautama Katzman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 San Pedro Dr Ne, Suite 106, Albuquerque, NM 87110 Phone: 505-250-1600 | |
Ms. Leah Joy Brouwers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 707 Broadway Blvd Ne, Suite 103, Albuquerque, NM 87102 Phone: 505-766-9361 Fax: 505-766-9157 |