Organization
LIGHTHOUSE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAIGE ALLYSE BARRERA MSN, APRN, PMHNP-BC (OWNER)
(915) 422-2066
Entity
Organization
Contact information
Practice address
1990 E LOHMAN AVE STE 209, LAS CRUCES, NM 88001-3172
(575) 405-0220
(888) 246-6904
Mailing address
1990 E LOHMAN AVE STE 209, LAS CRUCES, NM 88001-3172
(575) 405-0220
(888) 246-6904
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29079012
—
NM
01
—
7L5355
MEDICARE
—
01
—
7L6017
INDIVIDUAL MEDICARE PTAN
—
05
—
N0013364
—
NM
05
—
N0013372
—
NM
Enumeration date
10/14/2024
Last updated
07/09/2025
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