LIGHTHOUSE COUNSELING CENTER LLC NPI 1366136541

NPI Information

  • NPI: 1366136541
  • Provider Name: LIGHTHOUSE COUNSELING CENTER LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: LIGHTHOUSE COUNSELING
  • Address: 5201 SW WESTGATE DR STE 100
    PORTLAND, OR
    ZIP 97221
  • Phone: (469) 297-0096

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NPI Details

LIGHTHOUSE COUNSELING CENTER LLC is an adult mental health clinic center in Portland, OR. 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. LIGHTHOUSE COUNSELING CENTER LLC NPI is 1366136541. The provider is registered as an organization entity type.
The provider Is Doing Business As Lighthouse Counseling.

The provider's business location address is:

5201 SW WESTGATE DR STE 100
PORTLAND, OR
ZIP 97221-424
Phone: (469) 297-0096

The provider's authorized official is Earnest Wallace .
The authorized official title is Ceo and has the following contact phone number (469) 297-0096.

The enumeration date for this NPI number is 6/8/2023 and was last updated on 9/29/2023.

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: 11/21/2025

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