| A Safe Place Counseling Center Llc | |
|
1924 Juan Tabo Blvd Ne Ste A Albuquerque NM 87112-3358 | |
| (505) 250-8010 | |
| Not Available |
| Full Name | A Safe Place Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 1924 Juan Tabo Blvd Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Dena Marie Laino (OWNER) |
| Authorized Official Contact | 5052508010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Safe Place Counseling Center Llc 1924 Juan Tabo Blvd Ne Ste A Albuquerque NM 87112-3358 Ph: (505) 250-8010 | A Safe Place Counseling Center Llc 1924 Juan Tabo Blvd Ne Ste A Albuquerque NM 87112-3358 Ph: (505) 250-8010 |
| NPI Number | 1144061474 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/02/2024 |
| Medicare PECOS PAC ID | 1052859634 |
|---|---|
| Medicare Enrollment ID | O20240814000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144061474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dena M Laino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164060695 PECOS PAC ID: 2961940549 Enrollment ID: I20240814001139 |
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