| Lavender Roots Therapeutic Services | |
|
1401 Soave Dr Se Rio Rancho NM 87124-8849 | |
| (505) 490-1998 | |
| Not Available |
| Full Name | Lavender Roots Therapeutic Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1401 Soave Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kathryn V Sandoval (OWNER) |
| Authorized Official Contact | 5054901998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Roots Therapeutic Services 1401 Soave Dr Se Rio Rancho NM 87124-8849 Ph: () - | Lavender Roots Therapeutic Services 1401 Soave Dr Se Rio Rancho NM 87124-8849 Ph: (505) 490-1998 |
| NPI Number | 1659115640 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 2163969601 |
|---|---|
| Medicare Enrollment ID | O20240801004523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659115640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kathryn Sandoval |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336550466 PECOS PAC ID: 3072050517 Enrollment ID: I20240801004560 |
Heal Here Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Stagecoach Rd Se, Rio Rancho, NM 87124 Phone: 505-550-8695 | |
Davina's Haven Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 Jager Dr Ne Ste C4, Rio Rancho, NM 87144 Phone: 505-906-0002 | |
New Mexico Counseling Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 Sandoval Dr Ne, Rio Rancho, NM 87144 Phone: 505-220-6528 | |
Finding Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1424 Deborah Rd Se Ste 104b, Rio Rancho, NM 87124 Phone: 505-974-9647 | |
Rio Rancho Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2287 Lema Rd Se, Rio Rancho, NM 87124 Phone: 505-892-1100 Fax: 505-892-9728 | |
Robben R. Gingery, Md, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3188 Southern Blvd Se, Suite B1, Rio Rancho, NM 87124 Phone: 505-200-9158 Fax: 505-200-9497 | |
Thinking About Thoughts Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4008 Las Cimbras Ct Se, Rio Rancho, NM 87124 Phone: 503-744-7440 Fax: 541-248-1147 |