Organization
ABLE CLINICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI D CODDINGTON LCSW (REGISTERED AGENT)
(505) 333-7219
Entity
Organization
Contact information
Practice address
100 N CHURCH ST STE B, BLOOMFIELD, NM 87413-5754
(505) 333-7219
Mailing address
100 N CHURCH ST STE B, BLOOMFIELD, NM 87413-5754
(505) 333-7219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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