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LIGHTHOUSE WELLHEALTH INC NPI 1912644543


NPI Information

NPI: 1912644543
Provider Name: LIGHTHOUSE WELLHEALTH INC

Doing Business As: WELLHEALTH CLINIC

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4001 E BASELINE RD STE 204
GILBERT, AZ
ZIP 85234
Phone: (480) 269-2971
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LIGHTHOUSE WELLHEALTH INC is a psychiatry psychiatry neurology in Gilbert, AZ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIGHTHOUSE WELLHEALTH INC NPI is 1912644543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellhealth Clinic.

The provider's business location address is:

4001 E BASELINE RD STE 204
GILBERT, AZ
ZIP 85234-743
Phone: (480) 269-2971
Fax: (480) 452-0691

The provider's authorized official is Connie Decker .
The authorized official title is Credentialing Manager and has the following contact phone number (480) 269-2971.

The enumeration date for this NPI number is 5/16/2022 and was last updated on 9/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103TC0700XPsychologistClinicalNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6207Q00000XFamily MedicineNo
7363LF0000XNurse PractitionerFamilyNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
92084P0800XPsychiatry & NeurologyPsychiatryYes

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

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.