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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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