Healing Pathways Counseling Services Llc | |
405 Zia Ave Alamogordo NM 88310-4152 | |
(575) 415-8240 | |
Not Available |
Full Name | Healing Pathways Counseling Services Llc |
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Speciality | Counselor |
Location | 405 Zia Ave, Alamogordo, New Mexico |
Authorized Official Name and Position | Stephanie Ann Rodriguez (OWNER) |
Authorized Official Contact | 5754158240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healing Pathways Counseling Services Llc 1605 George Dieter Dr Ste 636 El Paso TX 79936-5692 Ph: (915) 671-1371 | Healing Pathways Counseling Services Llc 405 Zia Ave Alamogordo NM 88310-4152 Ph: (575) 415-8240 |
NPI Number | 1073380176 |
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Provider Enumeration Date | 12/08/2023 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Medicare PECOS PAC ID | 1052750593 |
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Medicare Enrollment ID | O20240417002220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073380176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Stephanie Ann Rodriguez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821208901 PECOS PAC ID: 2961841408 Enrollment ID: I20240417002824 |
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