LIGHTHOUSE SUPPORT SERVICES LLC NPI 1134875727

NPI Information

NPI: 1134875727
Provider Name: LIGHTHOUSE SUPPORT SERVICES LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
7303 E MAIN ST STE 106
MESA, AZ
ZIP 85207
Phone: (480) 332-0385
Get Directions

LIGHTHOUSE SUPPORT SERVICES LLC is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIGHTHOUSE SUPPORT SERVICES LLC NPI is 1134875727. The provider is registered as an organization entity type.

The provider's business location address is:

7303 E MAIN ST STE 106
MESA, AZ
ZIP 85207-325
Phone: (480) 332-0385

The provider's authorized official is Jessica Evans .
The authorized official title is Administrator and has the following contact phone number (602) 526-0302.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 8/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	324500000X	Substance Abuse Rehabilitation Facility		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »