Provider Demographics
NPI:1487084885
Name:HEART PATH HELPERS, LLC
Entity type:Organization
Organization Name:HEART PATH HELPERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISW
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-463-8777
Mailing Address - Street 1:10916 MILKY WAY ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-1542
Mailing Address - Country:US
Mailing Address - Phone:505-463-8777
Mailing Address - Fax:
Practice Address - Street 1:6000 SUMMER AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6738
Practice Address - Country:US
Practice Address - Phone:505-463-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-051071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty