| Pathfinder Visions, Inc. | |
|
107 Bryn Mawr Dr Se Albuquerque NM 87106-2206 | |
| (505) 681-0708 | |
| (888) 910-5156 |
| Full Name | Pathfinder Visions, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 107 Bryn Mawr Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lydia S Lennihan (OWNER) |
| Authorized Official Contact | 5056810708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathfinder Visions, Inc. 424 Bryn Mawr Dr Se Albuquerque NM 87106-2206 Ph: (505) 681-0708 | Pathfinder Visions, Inc. 107 Bryn Mawr Dr Se Albuquerque NM 87106-2206 Ph: (505) 681-0708 |
| NPI Number | 1043378227 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 9335580307 |
|---|---|
| Medicare Enrollment ID | O20240508004091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043378227 | NPI | - | NPPES |
| 65873874 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 93501 (New Mexico) | Primary |
| Provider Name | Lydia S Lennihan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821164518 PECOS PAC ID: 2062853039 Enrollment ID: I20240512000060 |
| Provider Name | Steven H Wong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508055013 PECOS PAC ID: 1153762125 Enrollment ID: I20240512000069 |
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