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THE COMMUNITY LIGHTHOUSE NPI 1215022041


NPI Information

NPI: 1215022041
Provider Name: THE COMMUNITY LIGHTHOUSE
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
7801 ACADEMY RD NE STE 2-200
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 262-9391
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THE COMMUNITY LIGHTHOUSE is a counselor in Albuquerque, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. THE COMMUNITY LIGHTHOUSE NPI is 1215022041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7801 ACADEMY RD NE STE 2-200
ALBUQUERQUE, NM
ZIP 87109-380
Phone: (505) 262-9391
Fax: (505) 265-7860

The provider's authorized official is Pierce Lee Ferriegel .
The authorized official title is Coo and has the following contact phone number (505) 273-6300.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistNEW MEXICONo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNEW MEXICONo
3101Y00000XCounselorNEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
146984879MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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