| Sandia Therapy And Wellness Center | |
| 11005 Spain Rd Ne Ste 15 Albuquerque NM 87111-1871 | |
| (217) 419-0807 | |
| Not Available | 
| Full Name | Sandia Therapy And Wellness Center | 
|---|---|
| Speciality | Social Worker | 
| Location | 11005 Spain Rd Ne Ste 15, Albuquerque, New Mexico | 
| Authorized Official Name and Position | Chloe Edgar (CEO) | 
| Authorized Official Contact | 2174190807 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandia Therapy And Wellness Center Po Box 67216 Albuquerque NM 87193-7216 Ph: (217) 419-0807 | Sandia Therapy And Wellness Center 11005 Spain Rd Ne Ste 15 Albuquerque NM 87111-1871 Ph: (217) 419-0807 | 
| NPI Number | 1588320576 | 
|---|---|
| Provider Enumeration Date | 11/13/2021 | 
| Last Update Date | 11/13/2021 | 
| Certification Date | 11/13/2021 | 
| Medicare PECOS PAC ID | 9335599612 | 
|---|---|
| Medicare Enrollment ID | O20231228002853 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588320576 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Chloe Denise Edgar | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1871731315 PECOS PAC ID: 7012250731 Enrollment ID: I20190521003044 | 
| Provider Name | Jennifer L Bear | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1205317047 PECOS PAC ID: 7416307798 Enrollment ID: I20240305001811 | 
| Provider Name | Mark Anthony Silla | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1851419121 PECOS PAC ID: 4284070558 Enrollment ID: I20240308001202 | 
| Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
| Lotus Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 401-954-1397 | |
| Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
| Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
| Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
| Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
| Drgmed, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 Gold Ave Sw Ste 1060, Albuquerque, NM 87102 Phone: 305-450-9651 Fax: 305-418-7511 |