Individual ProviderLindsey Deann HathawayCounselorBehavioral Health & Social Service ProvidersPractice Address1655 SW Highland Ave Ste 3, Redmond, OR 97756-2558(541) 923-2654(541) 801-0793PECOS EnrollmentBased on the most recent information from CMS, provider Lindsey Deann Hathaway does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699408914Provider TypeIndividualFull NameHathaway, Lindsey DeannTitleMrs.CredentialCADCI-R, CRMGenderFemaleSole ProprietorYesEnumeration Date7/5/2022Last Updated9/19/2023Contact InformationPractice LocationPractice Address1655 SW Highland Ave Ste 3, Redmond, OR 97756-2558Phone(541) 923-2654FaxUnlisted FaxMailing LocationMailing Address1815 SW 17th St, Redmond, OR 97756-3213Phone(541) 801-0793FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseT-23-2267OregonCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicense22-CRM-1123Oregon