Organization · Type 2 NPI

Lighthouse Trauma Therapy LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Provo, UT

NPI number 1043925902 Active

Practice location

883 S 1540 E
Provo, UT 84606-6743

Call (801) 829-1311 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1043925902

Lighthouse Trauma Therapy LLC's National Provider Identifier is 1043925902, issued on Jan 16, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Provo, UT. The record was last updated on Jan 16, 2023.