| Adl Counseling Llc | |
|
224 Anthony Dr Ste B Anthony NM 88021-9190 | |
| (915) 549-6905 | |
| Not Available |
| Full Name | Adl Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 224 Anthony Dr Ste B, Anthony, New Mexico |
| Authorized Official Name and Position | Angela Lopez (OWNER) |
| Authorized Official Contact | 3474275655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adl Counseling Llc 224 Anthony Dr Ste B Anthony NM 88021-9190 Ph: () - | Adl Counseling Llc 224 Anthony Dr Ste B Anthony NM 88021-9190 Ph: (915) 549-6905 |
| NPI Number | 1952124919 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 1052846094 |
|---|---|
| Medicare Enrollment ID | O20241127001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952124919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela Danielle Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205477742 PECOS PAC ID: 5597290536 Enrollment ID: I20241127001388 |
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