| Lighthouse Therapy Team, Llc. | |
|
5460 Ward Rd Ste 305 Arvada CO 80002-1800 | |
| (720) 255-1282 | |
| Not Available |
| Full Name | Lighthouse Therapy Team, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5460 Ward Rd Ste 305, Arvada, Colorado |
| Authorized Official Name and Position | Steffanne Ferris (MEMBER/OWNER) |
| Authorized Official Contact | 7202551282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapy Team, Llc. 5460 Ward Rd Ste 305 Arvada CO 80002-1800 Ph: (720) 255-1282 | Lighthouse Therapy Team, Llc. 5460 Ward Rd Ste 305 Arvada CO 80002-1800 Ph: (720) 255-1282 |
| NPI Number | 1689298978 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
| Certification Date | 06/02/2020 |
| Medicare PECOS PAC ID | 0749672053 |
|---|---|
| Medicare Enrollment ID | O20220119000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689298978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Steffanne Ferris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679197966 PECOS PAC ID: 1658763966 Enrollment ID: I20220119000605 |
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