| Lifebright Counseling Llc | |
|
3608 Britt St Ne Albuquerque NM 87111 | |
| (505) 934-2467 | |
| Not Available |
| Full Name | Lifebright Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 3608 Britt St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Heather Ann Clark (OWNER) |
| Authorized Official Contact | 5059342467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebright Counseling Llc 3608 Britt St Ne Albuquerque NM 87111-4983 Ph: (505) 934-2467 | Lifebright Counseling Llc 3608 Britt St Ne Albuquerque NM 87111 Ph: (505) 934-2467 |
| NPI Number | 1962110171 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 5698116697 |
|---|---|
| Medicare Enrollment ID | O20240508001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962110171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Heather Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902130206 PECOS PAC ID: 7113368119 Enrollment ID: I20240508002033 |
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