Mcclain Counseling Services, Llc | |
11 Double Eacle # 692 High Rolls Mountain Park NM 88325-9000 | |
(417) 319-4145 | |
(417) 290-2209 |
Full Name | Mcclain Counseling Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 11 Double Eacle # 692, High Rolls Mountain Park, New Mexico |
Authorized Official Name and Position | Robin Mcclain Penrod (OWNER) |
Authorized Official Contact | 5056030008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcclain Counseling Services, Llc Po Box 692 High Rolls Mountain Park NM 88325-0692 Ph: (505) 603-0008 | Mcclain Counseling Services, Llc 11 Double Eacle # 692 High Rolls Mountain Park NM 88325-9000 Ph: (417) 319-4145 |
NPI Number | 1588138325 |
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Provider Enumeration Date | 01/15/2019 |
Last Update Date | 05/29/2025 |
Certification Date | 05/29/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588138325 | NPI | - | NPPES |
1669497335 | Medicaid | NM | |
830157388 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |