Organization · Type 2 NPI
Lighthouse Mental Wellness PLLC
Psychiatric/Mental Health Nurse Practitioner · Pembroke, MA
NPI number
1821564790
Active
Practice location
28 Riverside Dr Ste 260
Pembroke, MA 02359-4947
Fax (781) 472-7071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1821564790
Lighthouse Mental Wellness PLLC's National Provider Identifier is 1821564790, issued on Oct 18, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pembroke, MA. The record was last updated on Jan 13, 2025.