National Provider Identifier Database

LA LUZ PROVIDER AGENCY LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LA LUZ PROVIDER AGENCY LLC
501 FRANKLIN AVE UNIT 6
SANTA FE, NM87501-3617
Phone: 505-660-3484
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Art Therapist 221700000X
Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for LA LUZ PROVIDER AGENCY LLC

NPI Number 1245692102
Legal business name
LBN
LA LUZ PROVIDER AGENCY LLC
Authorized official CHERYL SCIACCA - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/22/2016
Last updated 11/14/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 96838272

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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