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Organization

MESA PATH BEHAVIORAL AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTIE GAFFNEY (CEO)
(602) 706-2380
Entity
Organization

Contact information

Practice address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(602) 706-2380
Mailing address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(602) 706-2380

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
104100000X
Social Worker
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
03/19/2026
Last updated
03/27/2026
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