| Common Ground Counseling | |
|
405 Tewa St Taos NM 87571 | |
| (575) 224-1311 | |
| Not Available |
| Full Name | Common Ground Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 405 Tewa St, Taos, New Mexico |
| Authorized Official Name and Position | Bryan Thomas (CO-OWNER) |
| Authorized Official Contact | 5752241311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground Counseling Po Box 33 Taos NM 87571-0033 Ph: () - | Common Ground Counseling 405 Tewa St Taos NM 87571 Ph: (575) 224-1311 |
| NPI Number | 1760824106 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 07/26/2013 |
| Medicare PECOS PAC ID | 8820431893 |
|---|---|
| Medicare Enrollment ID | O20240206004394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760824106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000001147 (New Mexico) | Primary |
| Provider Name | Bryan K Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831216795 PECOS PAC ID: 9739522707 Enrollment ID: I20240206004536 |
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