Healthcare Provider Details

I. General information

NPI: 1255297040
Provider Name (Legal Business Name): ALIGHT BEHAVIORAL THERAPY NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE N
ALBUQUERQUE NM
87110-7845
US

IV. Provider business mailing address

998 E 21ST ST
BROOKLYN NY
11210-2834
US

V. Phone/Fax

Practice location:
  • Phone: 984-309-0750
  • Fax:
Mailing address:
  • Phone: 984-309-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MALKIE NEUMANN
Title or Position: COO
Credential:
Phone: 984-309-0750