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Contact Information

THE COMMUNITY LIGHTHOUSE
7801 ACADEMY RD NE STE 2-200
ALBUQUERQUE, NM87109-3380
 Phone: 505-262-9391
 Fax: 505-265-7860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for THE COMMUNITY LIGHTHOUSE · (Female)

NPI # 1215022041
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid 46984879
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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