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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

NPI # 1215022041
LBN Legal business name THE COMMUNITY LIGHTHOUSE
Authorized official PIERCE FERRIEGEL - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 07/17/2014 - About 12 years ago
Identifiers
NM Medicaid 46984879
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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