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Contact Information

LIGHTHOUSE WELLHEALTH INC
4001 E BASELINE RD STE 204
GILBERT, AZ85234-2743
 Phone: 480-269-2971
 Fax: 480-452-0691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE WELLHEALTH INC

NPI Number 1912644543
LBN Legal business name LIGHTHOUSE WELLHEALTH INC
Authorized official CONNIE DECKER - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2022
Last updated 09/13/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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