| The Family Connection Llc | |
|
6001 Whiteman Dr Nw Albuquerque NM 87120-2196 | |
| (505) 717-1155 | |
| (505) 717-1473 |
| Full Name | The Family Connection Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6001 Whiteman Dr Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Amanda S Davison (CEO) |
| Authorized Official Contact | 5057171155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Connection Llc 2441 Cabezon Blvd Se Rio Rancho NM 87124 Ph: (505) 717-1155 | The Family Connection Llc 6001 Whiteman Dr Nw Albuquerque NM 87120-2196 Ph: (505) 717-1155 |
| NPI Number | 1790970879 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 0941647085 |
|---|---|
| Medicare Enrollment ID | O20240325001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790970879 | NPI | - | NPPES |
| 50239279 | Medicaid | NM |
| Provider Name | Angelica Villicana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861628323 PECOS PAC ID: 5698910115 Enrollment ID: I20150115000217 |
| Provider Name | Amanda S Davison |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669560637 PECOS PAC ID: 1355788944 Enrollment ID: I20240319000303 |
| Provider Name | Sandra Leigh Rivera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174760854 PECOS PAC ID: 2668991779 Enrollment ID: I20250521003713 |
| Provider Name | Amber Fay Merritt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891271615 PECOS PAC ID: 2163931338 Enrollment ID: I20250530002441 |
| Provider Name | Renee Singletary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871131300 PECOS PAC ID: 5799294500 Enrollment ID: I20250603002949 |
| Provider Name | Paula L Raley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437464138 PECOS PAC ID: 3577900612 Enrollment ID: I20250606003684 |
| Provider Name | Danielle Burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891112801 PECOS PAC ID: 4587174636 Enrollment ID: I20250609001819 |
| Provider Name | Jennifer Bogart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508404047 PECOS PAC ID: 0749790483 Enrollment ID: I20250611001157 |
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