MERAKI MANAGEMENT- CA LLC NPI 1144936311

NPI Information

  • NPI: 1144936311
  • Provider Name: MERAKI MANAGEMENT- CA LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: LIGHTFULLY BEHAVIORAL HEALTH
  • CLIA Number: 05D2294308
  • Address: 2945 TOWNSGATE RD STE 320
    THOUSAND OAKS, CA
    ZIP 91361
  • Phone: (760) 918-1505

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NPI Details

MERAKI MANAGEMENT- CA LLC is an adult mental health clinic center in Thousand Oaks, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MERAKI MANAGEMENT- CA LLC NPI is 1144936311. The provider is registered as an organization entity type.
The provider Is Doing Business As Lightfully Behavioral Health.

The provider's business location address is:

2945 TOWNSGATE RD STE 320
THOUSAND OAKS, CA
ZIP 91361-867
Phone: (760) 918-1505

The provider's authorized official is Tracy Marie Rogers .
The authorized official title is Vp Of Revenue and has the following contact phone number (805) 728-9093.

The CLIA number assigned to this NPI record is 05D2294308 - other - behavioral health residen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 8/23/2024.

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 HealthYes

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: 3/30/2025

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