| Rise Above Therapy | |
|
9201 Montgomery Blvd Ne Bldg 1 Albuquerque NM 87111-2468 | |
| (505) 226-2115 | |
| Not Available |
| Full Name | Rise Above Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9201 Montgomery Blvd Ne Bldg 1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lakeitha C Burton (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5055395290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Above Therapy 9201 Montgomery Blvd Ne Bldg 1 Albuquerque NM 87111-2468 Ph: () - | Rise Above Therapy 9201 Montgomery Blvd Ne Bldg 1 Albuquerque NM 87111-2468 Ph: (505) 226-2115 |
| NPI Number | 1831904275 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 9830613033 |
|---|---|
| Medicare Enrollment ID | O20250409002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831904275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelcie Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043790868 PECOS PAC ID: 0941724983 Enrollment ID: I20250410003382 |
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