Organization
SEALIGHT WELLNESS LLC
Active
Organization
SEALIGHT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE LAROCQUE (LCSW, OWNER)
(505) 519-1502
Entity
Organization
Contact information
Practice address
4316 CARLISLE BLVD NE STE D, ALBUQUERQUE, NM 87107-4829
(505) 519-1502
Mailing address
PO BOX 40742, ALBUQUERQUE, NM 87196-0742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53405030
—
NM
Enumeration date
02/23/2024
Last updated
04/22/2025
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