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LIGHTHOUSE FAMILY THERAPY PROF LLC NPI 1982389003


NPI Information

NPI: 1982389003
Provider Name: LIGHTHOUSE FAMILY THERAPY PROF LLC

Doing Business As: LIGHTHOUSE WHOLEHEALTH FAMILY CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
300 E HORSETOOTH RD STE 200
FORT COLLINS, CO
ZIP 80525
Phone: (303) 929-6743
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LIGHTHOUSE FAMILY THERAPY PROF LLC is a specialist in Fort Collins, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIGHTHOUSE FAMILY THERAPY PROF LLC NPI is 1982389003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lighthouse Wholehealth Family Center.

The provider's business location address is:

300 E HORSETOOTH RD STE 200
FORT COLLINS, CO
ZIP 80525-154
Phone: (303) 929-6743

The provider's authorized official is Jennifer Bergin .
The authorized official title is Owner and has the following contact phone number (303) 929-6743.

The enumeration date for this NPI number is 6/16/2023 and was last updated on 10/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3235Z00000XSpeech-Language PathologistNo
4174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000218730MEDICAIDCOLORADO

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: 4/28/2024

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.