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Contact Information

PORCH LIGHT LLC
6263 W TWAIN AVE
LAS VEGAS, NV89103-1153
 Phone: 443-449-9034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PORCH LIGHT LLC

NPI # 1124645999
LBN Legal business name PORCH LIGHT LLC
Authorized official LORI CAMPBELL - (THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2020
Last updated 01/25/2021 - About 5 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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