THE LIGHTHOUSE MENTORING CENTER NPI 1114805926

NPI Information

  • NPI: 1114805926
  • Provider Name: THE LIGHTHOUSE MENTORING CENTER
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 5453 SHRIKE WAY
    ANTIOCH, CA
    ZIP 94531
  • Phone: (925) 350-0149

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NPI Details

THE LIGHTHOUSE MENTORING CENTER is a community based residential treatment facility mental illness in Antioch, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE LIGHTHOUSE MENTORING CENTER NPI is 1114805926. The provider is registered as an organization entity type.

The provider's business location address is:

5453 SHRIKE WAY
ANTIOCH, CA
ZIP 94531-821
Phone: (925) 350-0149
Fax: (925) 350-0158

The provider's authorized official is Phyllis Ritter .
The authorized official title is Clinical Director and has the following contact phone number (925) 628-1641.

The enumeration date for this NPI number is 8/21/2025 and was last updated on 9/18/2025.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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