| Completely You Wellness, Llc | |
|
2837 Palomas Dr Ne Albuquerque NM 87110-3121 | |
| (505) 220-1331 | |
| (505) 554-3435 |
| Full Name | Completely You Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2837 Palomas Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer Davis (OWNER) |
| Authorized Official Contact | 5052201330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Completely You Wellness, Llc 3167 San Mateo Blvd Ne # 249 Albuquerque NM 87110-1921 Ph: (505) 220-1330 | Completely You Wellness, Llc 2837 Palomas Dr Ne Albuquerque NM 87110-3121 Ph: (505) 220-1331 |
| NPI Number | 1437814670 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 6204221989 |
|---|---|
| Medicare Enrollment ID | O20220610001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437814670 | NPI | - | NPPES |
| 69206137 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962716795 PECOS PAC ID: 2466710116 Enrollment ID: I20171229001296 |
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