| Lighthouse Family Services Llc | |
|
1485 N Main St Ste C Las Cruces NM 88001-1182 | |
| (575) 312-8257 | |
| Not Available |
| Full Name | Lighthouse Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1485 N Main St Ste C, Las Cruces, New Mexico |
| Authorized Official Name and Position | Isabel Gonzales (OWNER) |
| Authorized Official Contact | 5753128257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Services Llc 3404 Del Rio Ct Las Cruces NM 88007-4938 Ph: (575) 312-8257 | Lighthouse Family Services Llc 1485 N Main St Ste C Las Cruces NM 88001-1182 Ph: (575) 312-8257 |
| NPI Number | 1407359136 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407359136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C-10254 (New Mexico) | Primary |
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