Pathways To Connection, Llc | |
7007 W Cinnabar Ave Peoria AZ 85345-6894 | |
(602) 218-1249 | |
(623) 321-9964 |
Full Name | Pathways To Connection, Llc |
---|---|
Speciality | Social Worker |
Location | 7007 W Cinnabar Ave, Peoria, Arizona |
Authorized Official Name and Position | Melissa Drinkman (OWNER) |
Authorized Official Contact | 6022181249 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pathways To Connection, Llc 7007 W Cinnabar Ave Peoria AZ 85345-6894 Ph: (602) 218-1249 | Pathways To Connection, Llc 7007 W Cinnabar Ave Peoria AZ 85345-6894 Ph: (602) 218-1249 |
NPI Number | 1396334157 |
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Provider Enumeration Date | 01/14/2021 |
Last Update Date | 03/14/2024 |
Certification Date | 03/14/2024 |
Medicare PECOS PAC ID | 7719321561 |
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Medicare Enrollment ID | O20240220002239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396334157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Melissa A Drinkman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932512456 PECOS PAC ID: 8022304443 Enrollment ID: I20160912001891 |
Provider Name | Brenda Graziano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407576721 PECOS PAC ID: 4284006040 Enrollment ID: I20230206000612 |
Provider Name | Glenda R Henman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720674757 PECOS PAC ID: 8921446840 Enrollment ID: I20240410002885 |
Provider Name | Laura Heinzeroth |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942936679 PECOS PAC ID: 6305285248 Enrollment ID: I20240411003523 |
Provider Name | Tara Griggs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881290567 PECOS PAC ID: 8820437197 Enrollment ID: I20240418004161 |
Provider Name | Ariana Trinidad Varelas |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396305991 PECOS PAC ID: 1153760244 Enrollment ID: I20240423000927 |
Provider Name | Karen Marie Ricotta |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558004051 PECOS PAC ID: 7618316712 Enrollment ID: I20240423001320 |
Provider Name | Laurel C Alexander |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730832817 PECOS PAC ID: 8022458900 Enrollment ID: I20240425000906 |
Provider Name | Natalie Fondell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982374997 PECOS PAC ID: 4688014806 Enrollment ID: I20240503002590 |
Provider Name | Dustin Wade Wallace |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528667060 PECOS PAC ID: 1951743798 Enrollment ID: I20240524002757 |
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