Healthcare Provider Details

I. General information

NPI: 1215732839
Provider Name (Legal Business Name): SALT AND LIGHT CHRISTIAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 TAYLOR RANCH RD NW
ALBUQUERQUE NM
87120-2963
US

IV. Provider business mailing address

6323 CORTE ALZIRA NW
ALBUQUERQUE NM
87114-4989
US

V. Phone/Fax

Practice location:
  • Phone: 505-218-7321
  • Fax:
Mailing address:
  • Phone: 505-379-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH HO
Title or Position: OWNER
Credential: LPCC
Phone: 505-379-5054