Lighthouse Psychological Services, Inc.

LBN: Lighthouse Psychological Services, Inc.
Lighthouse Psychological Services, Inc. is an health care organization with primary practice located at 1551 Payne Ave , Saint Paul MN 55130-3218. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lighthouse Psychological Services, Inc. can be contacted via phone (763) 780-3077, or through Trnka, Aaron J via phone (763) 780-3307.

Contact Information

Primary practice address
1551 Payne Ave Saint Paul MN 55130-3218
Phone: (763) 780-3077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trnka, Aaron J Master of Arts (MA)
Phone: (763) 780-3307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972774834
LBN Legal business name Lighthouse Psychological Services, Inc.
DBA Doing business as
Authorized official Trnka, Aaron J Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Aug 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972774834 NPPES
Minnesota Other 964912100 MHCP PROVIDER ID #

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