Lightmoon, Diana
Lightmoon, Diana is an individual health care provider with primary practice located at 5 Caliente Rd Ste 2C , Santa Fe NM 87508-9205. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lightmoon, Diana can be contacted via phone (505) 577-4607.Contact Information
Primary practice address
5 Caliente Rd Ste 2C
Santa Fe NM 87508-9205
Phone: (505) 577-4607
Fax: (505) 466-1277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0228 | New Mexico |
Profile Details
NPI number | 1518131689 |
---|---|
LBN Legal business name | Lightmoon, Diana |
Credentials | MA, LPCC, LMT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2008 |
Last updated | Jun 30th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518131689 | NPPES |
New Mexico | MEDICAID | 67985041 |
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