Healthcare Provider Details

I. General information

NPI: 1760783815
Provider Name (Legal Business Name): PATHFINDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 ASPEN AIRPORT BUSINESS CTR STE B
ASPEN CO
81611-2568
US

IV. Provider business mailing address

PO BOX 11799
ASPEN CO
81612-9450
US

V. Phone/Fax

Practice location:
  • Phone: 970-925-1226
  • Fax: 970-544-3867
Mailing address:
  • Phone: 970-925-1226
  • Fax: 970-544-3867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1017
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4736
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4736
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ELIZABETH MEANS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-925-1226