| Heart & Soul Of Nm, Inc | |
|
1300 East River Rd Apt B Belen NM 87002 | |
| (505) 967-9974 | |
| Not Available |
| Full Name | Heart & Soul Of Nm, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1300 East River Rd, Belen, New Mexico |
| Authorized Official Name and Position | Ignacio Castillo (PRESIDENT) |
| Authorized Official Contact | 5059679974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Of Nm, Inc Po Box 292 Tome NM 87060-0292 Ph: (505) 967-9974 | Heart & Soul Of Nm, Inc 1300 East River Rd Apt B Belen NM 87002 Ph: (505) 967-9974 |
| NPI Number | 1922504117 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 04/05/2018 |
| Medicare PECOS PAC ID | 4587052873 |
|---|---|
| Medicare Enrollment ID | O20211019000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922504117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Fallon Laws Gravely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417380700 PECOS PAC ID: 5294012845 Enrollment ID: I20170508002507 |
| Provider Name | Denai Lynn Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447734165 PECOS PAC ID: 2365876653 Enrollment ID: I20191219000289 |
| Provider Name | Christopher R O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659902138 PECOS PAC ID: 6305267188 Enrollment ID: I20200603001033 |
| Provider Name | Catherine Baeza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629509096 PECOS PAC ID: 7719303544 Enrollment ID: I20200811002854 |
| Provider Name | Brandy Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760774673 PECOS PAC ID: 1355739657 Enrollment ID: I20211019000661 |
| Provider Name | Elizabeth Reader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841572435 PECOS PAC ID: 8123416427 Enrollment ID: I20211019000757 |
| Provider Name | Gayle Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194078774 PECOS PAC ID: 2466840772 Enrollment ID: I20211019000945 |
| Provider Name | Deanna Osborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710157698 PECOS PAC ID: 5991193203 Enrollment ID: I20211019001058 |
| Provider Name | Christopher Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275952319 PECOS PAC ID: 5799152286 Enrollment ID: I20221114001848 |
| Provider Name | Caitlin Talty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538632922 PECOS PAC ID: 5597133033 Enrollment ID: I20221115001129 |
| Provider Name | Katricia Cramond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710608740 PECOS PAC ID: 2062883713 Enrollment ID: I20230117003022 |
| Provider Name | Maria Meraz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790238343 PECOS PAC ID: 9638540867 Enrollment ID: I20230125002188 |
| Provider Name | Pamela Duda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265645428 PECOS PAC ID: 6204282551 Enrollment ID: I20231024000896 |
| Provider Name | Harlena Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770765166 PECOS PAC ID: 6709238108 Enrollment ID: I20240122003401 |
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Valencia Shelter For Victims Of Domestic Violence Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 Becker Ave, Belen, NM 87002 Phone: 505-864-3202 Fax: 505-864-8138 | |
Besito Mental Healthcare Of New Mexico, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300b E River Rd, Belen, NM 87002 Phone: 505-967-9975 | |
Pecos Valley Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 Becker, Belen, NM 87002 Phone: 575-517-0391 Fax: 575-517-0391 | |
Shared Vision Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Cut Tree Ln, Belen, NM 87002 Phone: 505-306-9136 | |
Mandala Group Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19478 Highway 314, Belen, NM 87002 Phone: 505-859-0814 |