| Lighthouse Trauma Therapy LLC | |
|
883 S 1540 E Provo UT 84606-6743 | |
| (801) 829-1311 | |
| Not Available |
| Full Name | Lighthouse Trauma Therapy LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 883 S 1540 E, Provo, Utah |
| Authorized Official Name and Position | Aimi Campbell (OWNER) |
| Authorized Official Contact | 8018291311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Trauma Therapy LLC 883 S 1540 E Provo UT 84606-6743 Ph: (801) 829-1311 | Lighthouse Trauma Therapy LLC 883 S 1540 E Provo UT 84606-6743 Ph: (801) 829-1311 |
| NPI Number | 1043925902 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043925902 | NPI | - | NPPES |
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