| Lighthouse Therapies, Llc | |
|
4779 Kerry Ann Pl Las Cruces NM 88012-7474 | |
| (575) 223-2449 | |
| Not Available |
| Full Name | Lighthouse Therapies, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4779 Kerry Ann Pl, Las Cruces, New Mexico |
| Authorized Official Name and Position | Celina Jo Holguin (OWNER/THERAPIST) |
| Authorized Official Contact | 9152740372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapies, Llc 4779 Kerry Ann Pl Las Cruces NM 88012-7474 Ph: (915) 274-0372 | Lighthouse Therapies, Llc 4779 Kerry Ann Pl Las Cruces NM 88012-7474 Ph: (575) 223-2449 |
| NPI Number | 1124867320 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124867320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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