Organization
PIVOTS POTENTIAL LLC
Active
Organization
PIVOTS POTENTIAL LLC
Active
Other names
PIVOTS POTENTIAL LLC - NM
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA LYNNE PENN LEON LCSW (EXECUTIVE OFFICER)
(240) 457-9505
Entity
Organization
Contact information
Practice address
1209 MOUNTAIN ROAD PL NE # 4433, ALBUQUERQUE, NM 87110-7845
(240) 457-9505
Mailing address
13606 WOODLAND HEIGHTS DR, HAGERSTOWN, MD 21742-2380
(240) 457-9505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/07/2025
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