| Trail Ahead Therapy, Llc | |
|
901 Rio Grande Blvd Nw Ste G252 Albuquerque NM 87104-2059 | |
| (505) 249-2798 | |
| (505) 355-2611 |
| Full Name | Trail Ahead Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ingrid Lucia Bisbee (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 5057028112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trail Ahead Therapy, Llc 901 Rio Grande Blvd Nw Ste G252 Albuquerque NM 87104-2059 Ph: (505) 249-2798 | Trail Ahead Therapy, Llc 901 Rio Grande Blvd Nw Ste G252 Albuquerque NM 87104-2059 Ph: (505) 249-2798 |
| NPI Number | 1235733437 |
|---|---|
| Provider Enumeration Date | 11/28/2020 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 4789096884 |
|---|---|
| Medicare Enrollment ID | O20201215000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235733437 | NPI | - | NPPES |
| 34333088 | Medicaid | NM |
| Provider Name | Ingrid Lucia Bisbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467953570 PECOS PAC ID: 5698187797 Enrollment ID: I20201228000776 |
| Provider Name | Melissa Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376916825 PECOS PAC ID: 4880087899 Enrollment ID: I20220215000107 |
| Provider Name | Miriam Williams Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982733440 PECOS PAC ID: 0446610984 Enrollment ID: I20230717000930 |
| Provider Name | Basiea Griego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922605500 PECOS PAC ID: 5092155945 Enrollment ID: I20240425003584 |
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