LILLY'S INTERNAL LIGHT, LLC (NPI# 1073128351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073128351 |
| Entity Type | Organization |
| Organization Name | LILLY'S INTERNAL LIGHT, LLC |
| Practice Address |
2006 Southern Blvd Se Ste 203c Rio Rancho NM 87124-3758 |
| Mailing Address |
2246 Lema Rd Se Rio Rancho NM 87124-7249 |
| Practice Telephone | 5059180455 |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | FRANCINE HERNANDEZ (CO-OWNER) |
| Authorized Official Telephone | 5059187412 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2006 SOUTHERN BLVD SE STE 203C |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700126794 | Kim Cantrell, LLC | Social Worker | 2006 Southern Blvd Se Ste 203c, Rio Rancho, NM 87124-3758 | 2013-02-27 |
| 1508256645 | Francine Hernandez | Social Worker | 2006 Southern Blvd Se Ste 203c, Rio Rancho, NM 87124-3758 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173827 | Joann Elizabeth Mitchell | Counselor | 620 Teresa Ct Se, Rio Rancho, NM 87124-2382 | 2020-10-27 |
| 1740888247 | Patricia Garcia | Counselor | 2006 Southern Blvd Se Ste 202, Rio Rancho, NM 87124-3758 | 2020-10-15 |
| 1467059428 | Danielle Lorraine Mascarenas | Counselor | 932 Tulip Rd Se, Rio Rancho, NM 87124-3858 | 2020-10-02 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1457987844 | Cory Luby | Counselor | 5023 Brown Bear Dr Ne, Rio Rancho, NM 87144-0861 | 2020-03-17 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1497225387 | Denise Barner | Counselor | 2901 Juan Tabo, Ne, Suite 101c, Rio Rancho, NM 87124-1467 | 2018-12-04 |
| 1588148597 | Rick Allen Houser | Counselor | 3814 Desert Pinon Dr Ne, Rio Rancho, NM 87144-2540 | 2018-09-17 |
| 1093231565 | Rachel Montoya | Counselor | 2001 Spring Dr, Rio Rancho, NM 87124 | 2017-08-16 |
| 1104365329 | Rozanne Marie Hurst | Counselor | 333 Highway 528, Suite 205, Rio Rancho, NM 87124 | 2017-02-21 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on LILLY'S INTERNAL LIGHT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.