Lighthouse Trauma Therapy Llc

LBN: Lighthouse Trauma Therapy Llc
Lighthouse Trauma Therapy Llc is an health care organization with primary practice located at 883 S 1540 E , Provo UT 84606-6743. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Lighthouse Trauma Therapy Llc can be contacted via phone (801) 829-1311, or through Campbell, Aimi via phone (801) 829-1311.

Contact Information

Primary practice address
883 S 1540 E Provo UT 84606-6743
Phone: (801) 829-1311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Aimi LMFT
Phone: (801) 829-1311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1043925902
LBN Legal business name Lighthouse Trauma Therapy Llc
DBA Doing business as
Authorized official Campbell, Aimi LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2023
Last updated Jan 16th, 2023 - about 2 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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