Organization
THE COMMUNITY LIGHTHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERCE LEE FERRIEGEL (COO)
(505) 273-6300
Entity
Organization
Contact information
Practice address
7801 ACADEMY RD NE STE 2-200, ALBUQUERQUE, NM 87109-3380
(505) 262-9391
(505) 265-7860
Mailing address
7801 ACADEMY RD NE STE 2-200, ALBUQUERQUE, NM 87109-3380
(505) 273-6300
(505) 265-7860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NM
106H00000X
Marriage & Family Therapist
—
NM
2084P0804X
Child & Adolescent Psychiatry Physician
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46984879
—
NM
Enumeration date
10/04/2006
Last updated
07/17/2014
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