Organization
LIGHTHOUSE LANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIPES LCSW (OWNER)
(702) 205-8826
Entity
Organization
Contact information
Practice address
10409 MONTGOMERY PKWY NE STE 203K, ALBUQUERQUE, NM 87111-3852
(505) 226-6333
Mailing address
10409 MONTGOMERY PKWY NE STE 203K, ALBUQUERQUE, NM 87111-3852
(505) 226-6333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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