| A Path With Heart | |
|
920 Madeira Dr Ne Albuquerque NM 87108-1424 | |
| (505) 266-8168 | |
| (505) 266-8168 |
| Full Name | A Path With Heart |
|---|---|
| Speciality | Counselor |
| Location | 920 Madeira Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Dana Joseph Paine (DIRECTOR) |
| Authorized Official Contact | 5052668168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Path With Heart 920 Madeira Dr Ne Albuquerque NM 87108-1424 Ph: (505) 266-8168 | A Path With Heart 920 Madeira Dr Ne Albuquerque NM 87108-1424 Ph: (505) 266-8168 |
| NPI Number | 1205122769 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 4486063880 |
|---|---|
| Medicare Enrollment ID | O20210517000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205122769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0095841 (New Mexico) | Primary |
| Provider Name | Melinda Frasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538515184 PECOS PAC ID: 3072922376 Enrollment ID: I20210517000492 |
| Provider Name | Brian Matthew Giron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568070746 PECOS PAC ID: 0547664245 Enrollment ID: I20210803000701 |
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