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Organization

LILLY'S INTERNAL LIGHT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCINE HERNANDEZ LCSW (CO-OWNER)
(505) 918-7412
Entity
Organization

Contact information

Practice address
10000 COORS BYP NW STE EO1, ALBUQUERQUE, NM 87114-4040
(505) 918-0455
Mailing address
PO BOX 45281, RIO RANCHO, NM 87174-5281
(505) 677-0988

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/13/2020
Last updated
01/13/2025
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