Bango, Giselle Del Carmen
Bango, Giselle Del Carmen is an sole proprietor health care provider with primary practice located at 2554 Shavano Peak Dr Ne , Rio Rancho NM 87144-6792. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bango, Giselle Del Carmen can be contacted via phone (828) 301-8171.Contact Information
Primary practice address
2554 Shavano Peak Dr Ne
Rio Rancho NM 87144-6792
Phone: (828) 301-8171
Fax: (828) 333-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CAD0212061 | New Mexico |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1409 | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | CMF0201891 | New Mexico |
Profile Details
| NPI number | 1144523200 |
|---|---|
| LBN Legal business name | Bango, Giselle Del Carmen |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2010 |
| Last updated | Jan 3rd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144523200 | NPPES |
| New Mexico | MEDICAID | 78850517 | |
| New Mexico | MEDICAID | 6105307 |
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