LIGHTHOUSE MENTAL WELLNESS PLLC NPI 1821564790

NPI Information

NPI: 1821564790
Provider Name: LIGHTHOUSE MENTAL WELLNESS PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
28 RIVERSIDE DR STE 260
PEMBROKE, MA
ZIP 02359
Phone: (781) 472-7070
Get Directions

LIGHTHOUSE MENTAL WELLNESS PLLC is a psychiatric/mental health nurse practitioner in Pembroke, MA. LIGHTHOUSE MENTAL WELLNESS PLLC NPI is 1821564790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 RIVERSIDE DR STE 260
PEMBROKE, MA
ZIP 02359-947
Phone: (781) 472-7070
Fax: (781) 472-7071

The provider's authorized official is Brian Banks .
The authorized official title is Psychiatric Np/owner and has the following contact phone number (781) 427-7070.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 7/7/2020.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »