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LIGHTHOUSE BEHAVIOR CENTER LLC NPI 1093387250


NPI Information

NPI: 1093387250
Provider Name: LIGHTHOUSE BEHAVIOR CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
27 SE 24TH AVE
POMPANO BEACH, FL
ZIP 33062
Phone: (281) 881-7983
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LIGHTHOUSE BEHAVIOR CENTER, LLC is a mental health (including community mental health center) clinic center in Pompano Beach, FL. LIGHTHOUSE BEHAVIOR CENTER, LLC NPI is 1093387250. The provider is registered as an organization entity type.

The provider's business location address is:

27 SE 24TH AVE
POMPANO BEACH, FL
ZIP 33062-346
Phone: (281) 881-7983

The provider's authorized official is Angela L Tallo .
The authorized official title is Co-ceo Co-founder and has the following contact phone number (281) 881-7983.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.


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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 5/5/2024

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