| Corrales Therapy LLC | |
|
673 Perfecto Lopez Rd Corrales NM 87048-5101 | |
| (505) 280-5834 | |
| Not Available |
| Full Name | Corrales Therapy LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 673 Perfecto Lopez Rd, Corrales, New Mexico |
| Authorized Official Name and Position | Gerard Vaglio (OWNER) |
| Authorized Official Contact | 5052805834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corrales Therapy LLC 673 Perfecto Lopez Rd Corrales NM 87048-5101 Ph: (505) 280-5834 | Corrales Therapy LLC 673 Perfecto Lopez Rd Corrales NM 87048-5101 Ph: (505) 280-5834 |
| NPI Number | 1568123479 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 0749624872 |
|---|---|
| Medicare Enrollment ID | O20240216002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568123479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Gerard Vaglio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518446509 PECOS PAC ID: 1658715784 Enrollment ID: I20240216002915 |
Meta, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4813 Corrales Road, Corrales, NM 87048 Phone: 505-898-5662 |
Morrow Associates and Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3824 Corrales Rd, Corrales, NM 87048 Phone: 505-890-9552 Fax: 505-890-5652 |
Changing Life's Direction, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4627 Corrales Rd., Corrales, NM 87048 Phone: 505-450-1948 |
New Mexico Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3949 Corrales Rd Ste 205, Corrales, NM 87048 Phone: 505-385-0439 |
Aspen Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4481 Corrales Rd Ste 9, Corrales, NM 87048 Phone: 505-554-9099 |
Mimbres Counseling Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Calle Blanca, Corrales, NM 87048 Phone: 575-621-0592 |