Organization
LIGHTHOUSE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL GONZALES LCSW (OWNER)
(575) 312-8257
Entity
Organization
Contact information
Practice address
1485 N MAIN ST STE C, LAS CRUCES, NM 88001-1182
(575) 312-8257
Mailing address
3404 DEL RIO CT, LAS CRUCES, NM 88007-4938
(575) 312-8257
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C-10254
NM
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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