MEDICARE: COVERT MERCY INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1669286043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVERT MERCY INCORPORATED

Provider Business Mailing Address
First Line	:	7220 MINUTEMAN DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-5079
Country	:	US
Telephone Number	:	505-306-0395
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 OSUNA RD NE BLDG 2
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-5950
Country	:	US
Telephone Number	:	505-306-0395
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR COUNSELOR
Name	:	MR. JOHN HOWARD THURMAN JR.
Credential	:	LCMHC
Telephone Number	:	505-306-0395

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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Directions to “COVERT MERCY INCORPORATED ” Practice Location

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