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

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NPI Details

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 License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4324500000XSubstance Abuse Rehabilitation FacilityYes

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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