Organization
CARLSBAD LIFEHOUSE INC
Active
Other names
Carlsbad Life House Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUSAN ROGGE-ROGERS (EXECUTIVE ADMINISTRATOR)
(575) 302-8304
Entity
Organization
Contact information
Practice address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
(575) 725-5552
Mailing address
PO BOX 3141, CARLSBAD, NM 88221-3141
(575) 302-8304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06433278
—
NM
05
—
24921327
—
NM
05
—
24921327
—
NY
05
—
32279302
—
NM
Enumeration date
02/16/2021
Last updated
02/24/2026
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