| Loving Embodiment Llc | |
|
413 W Bremen St Silver City NM 88061-4812 | |
| (505) 307-6476 | |
| Not Available |
| Full Name | Loving Embodiment Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 413 W Bremen St, Silver City, New Mexico |
| Authorized Official Name and Position | Corrianne Broner (OWNER, HEAD THERAPIST) |
| Authorized Official Contact | 5053076476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Embodiment Llc Po Box 2811 Silver City NM 88062-2811 Ph: (505) 307-6476 | Loving Embodiment Llc 413 W Bremen St Silver City NM 88061-4812 Ph: (505) 307-6476 |
| NPI Number | 1386468577 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 7012437924 |
|---|---|
| Medicare Enrollment ID | O20250221003563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386468577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Corrianne H Broner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861727992 PECOS PAC ID: 8921528837 Enrollment ID: I20250221003566 |
La Frontera Center, Inc. Dba La Frontera New Mexico, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Hudson St, Suite 6, Silver City, NM 88061 Phone: 575-388-4412 | |
Carrie L Hinds Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 309 N Cheyenne Ave, Silver City, NM 88061 Phone: 970-270-2851 Fax: 970-628-4991 | |
Victorybridge Healthcare, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1720 E 32nd St, Silver City, NM 88061 Phone: 202-413-2078 | |
Quantum View Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W College Ave, 12, Silver City, NM 88061 Phone: 575-535-2760 | |
Flores De Tepeyac Behavioral Health Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3060 Hwy 180 East, Silver City, NM 88061 Phone: 505-388-2743 Fax: 505-388-8885 | |
Kids In Need Of Supportive Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Silver St, Silver City, NM 88061 Phone: 575-388-2414 Fax: 575-388-2457 | |
Western New Mexico University Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12th And Virginia, Silver City, NM 88061 Phone: 575-538-6805 Fax: 575-538-6482 |