ETERNAL LIGHT COUNSELING LLC NPI 1467299123

NPI Information

  • NPI: 1467299123
  • Provider Name: ETERNAL LIGHT COUNSELING LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: ETERNAL LIGHT COUNSELING LLC
  • Address: 1867 GEORGIA ST NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 206-1430

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NPI Details

ETERNAL LIGHT COUNSELING LLC is a clinical social worker in Albuquerque, NM. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ETERNAL LIGHT COUNSELING LLC NPI is 1467299123. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eternal Light Counseling Llc.

The provider's business location address is:

1867 GEORGIA ST NE
ALBUQUERQUE, NM
ZIP 87110-902
Phone: (505) 206-1430

The provider's authorized official is Glorijana Wolfgang .
The authorized official title is Owner/clinical Social Worker and has the following contact phone number (505) 206-1430.

The enumeration date for this NPI number is 7/10/2024 and was last updated on 12/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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