Provider Demographics
NPI:1881322154
Name:MASN, LLC / NEW LIGHT COUNSELING LLC
Entity type:Organization
Organization Name:MASN, LLC / NEW LIGHT COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-202-7207
Mailing Address - Street 1:3169 ASHKIRK LOOP SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-3614
Mailing Address - Country:US
Mailing Address - Phone:281-202-7207
Mailing Address - Fax:505-212-6336
Practice Address - Street 1:1400 BARBARA LOOP SE STE C
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1088
Practice Address - Country:US
Practice Address - Phone:281-202-7207
Practice Address - Fax:505-212-6336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MASN, LLC / NEW LIGHT COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-12
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty