La Luz Mental Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LA LUZ MENTAL WELLNESS LLC

Practice address

4245 Juan Tabo Blvd NE
Suite 220
Albuquerque, NM 87110-8712

Phone

(505) 321-8205

NPI assigned

Jan 3, 2024

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christyn M Small, LPCCNPI 1174213581

Title

Owner

Phone

(505) 321-8205

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christyn Marie Small, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1174213581
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1346010105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 LANG AVE NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094475",
            "telephone_number": "505-321-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JUAN TABO BLVD NE",
            "address_2": "SUITE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108712",
            "telephone_number": "505-321-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LUZ MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "CHRISTYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-321-8205",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Treloar La Cour, PH.D.
• La Cueva Family Healthcare Inc
• La Familia Inc.
• La Familia, Inc. (La Familia-Namaste)
• La Luz Counseling, LLC
• La Luz Therapy Services
• La Mariposa Counseling LLC
• La Paloma Clinic LLC
• Tina C La Turner, M.A. LPCC
• Johnathan La Ve

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.