Lighthouse Support Services Llc

LBN: Lighthouse Support Services Llc
Lighthouse Support Services Llc is an health care organization with primary practice located at 7516 E Main St Ste 1 , Mesa AZ 85207-8332. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Lighthouse Support Services Llc can be contacted via phone (602) 526-0302, or through Evans, Jessica via phone (602) 526-0302.

Contact Information

Primary practice address
7516 E Main St Ste 1 Mesa AZ 85207-8332
Phone: (602) 526-0302
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jessica
Phone: (602) 526-0302

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Laboratories / Clinical Medical Laboratory 291U00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1033817333
LBN Legal business name Lighthouse Support Services Llc
DBA Doing business as
Authorized official Evans, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2023
Last updated Mar 15th, 2024 - about last year

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 1033817333 NPPES
Arizona MEDICAID 123007

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