| Thriving Minds Therapy Services-jc Corp | |
|
3512 Fernwood Ave Alamogordo NM 88310-5406 | |
| (575) 214-9215 | |
| Not Available |
| Full Name | Thriving Minds Therapy Services-jc Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3512 Fernwood Ave, Alamogordo, New Mexico |
| Authorized Official Name and Position | Janice Walker (OWNER, LICENSED CLINICAL THERAPIST) |
| Authorized Official Contact | 5752149215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Minds Therapy Services-jc Corp 3512 Fernwood Ave Alamogordo NM 88310-5406 Ph: (575) 214-9215 | Thriving Minds Therapy Services-jc Corp 3512 Fernwood Ave Alamogordo NM 88310-5406 Ph: (575) 214-9215 |
| NPI Number | 1144982695 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Medicare PECOS PAC ID | 4789076142 |
|---|---|
| Medicare Enrollment ID | O20220113002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144982695 | NPI | - | NPPES |
| Provider Name | Janice Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205423829 PECOS PAC ID: 6507258969 Enrollment ID: I20220113002878 |
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