Healthcare Provider Details

I. General information

NPI: 1417885146
Provider Name (Legal Business Name): LUZ CLARA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 AEGIS RD
LAS CRUCES NM
88012-7097
US

IV. Provider business mailing address

2260 E LOHMAN AVE # 1075
LAS CRUCES NM
88001-8490
US

V. Phone/Fax

Practice location:
  • Phone: 575-993-2982
  • Fax:
Mailing address:
  • Phone: 575-993-2982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE ARMENDARIZ
Title or Position: OWNER
Credential: LPCC
Phone: 575-993-2982