| Winds Of Change Mental Health Services, Llc | |
|
200 N 1st St Ste B Grants NM 87020-3905 | |
| (505) 290-4551 | |
| (505) 658-2398 |
| Full Name | Winds Of Change Mental Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 200 N 1st St Ste B, Grants, New Mexico |
| Authorized Official Name and Position | Renee H Wilkins (OWNER) |
| Authorized Official Contact | 5052904551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Mental Health Services, Llc Po Box 178 Grants NM 87020-0178 Ph: (505) 290-4551 | Winds Of Change Mental Health Services, Llc 200 N 1st St Ste B Grants NM 87020-3905 Ph: (505) 290-4551 |
| NPI Number | 1548677669 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 03/30/2023 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 3375977317 |
|---|---|
| Medicare Enrollment ID | O20191227000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548677669 | NPI | - | NPPES |
| 88435555 | Medicaid | NM |
| Provider Name | Renee H Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609036656 PECOS PAC ID: 2264560465 Enrollment ID: I20100510000126 |
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