| Walsh Counseling Services Llc | |
|
1113 Rhode Island St Ne Ste B Albuquerque NM 87110-7839 | |
| (505) 266-0441 | |
| (505) 266-0504 |
| Full Name | Walsh Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1113 Rhode Island St Ne Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Brandy Allison Box (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5053632492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walsh Counseling Services Llc 1113 Rhode Island St Ne Ste B Albuquerque NM 87110-7839 Ph: (505) 266-0441 | Walsh Counseling Services Llc 1113 Rhode Island St Ne Ste B Albuquerque NM 87110-7839 Ph: (505) 266-0441 |
| NPI Number | 1023314127 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Medicare PECOS PAC ID | 5294162012 |
|---|---|
| Medicare Enrollment ID | O20250110002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023314127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-07102 (New Mexico) | Primary |
| Provider Name | Ellen Teresa Costilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871538017 PECOS PAC ID: 8022904911 Enrollment ID: I20040226000711 |
| Provider Name | Peter John Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316175664 PECOS PAC ID: 0143657965 Enrollment ID: I20250110002700 |
| Provider Name | Sarah Kathryn Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730835026 PECOS PAC ID: 8325577315 Enrollment ID: I20250121000629 |
| Provider Name | Loni Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871049031 PECOS PAC ID: 2163951914 Enrollment ID: I20250123003769 |
| Provider Name | Lauren Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689119281 PECOS PAC ID: 7012446461 Enrollment ID: I20250129003007 |
| Provider Name | Michael Crozier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205465333 PECOS PAC ID: 2860922986 Enrollment ID: I20250205000502 |
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