| Lighthousetherapy, Llc | |
|
1777 S Harrison St Ste 401 Denver CO 80210-3929 | |
| (833) 749-3549 | |
| (303) 376-4347 |
| Full Name | Lighthousetherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1777 S Harrison St Ste 401, Denver, Colorado |
| Authorized Official Name and Position | Evan Moore (FOUNDER/OWNER) |
| Authorized Official Contact | 8337493549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthousetherapy, Llc 1777 S Harrison St Ste 1200 Denver CO 80210-3955 Ph: (833) 749-3549 | Lighthousetherapy, Llc 1777 S Harrison St Ste 401 Denver CO 80210-3929 Ph: (833) 749-3549 |
| NPI Number | 1508593377 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 6507205531 |
|---|---|
| Medicare Enrollment ID | O20240423003049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508593377 | NPI | - | NPPES |
| Provider Name | Evan Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336757509 PECOS PAC ID: 7315386349 Enrollment ID: I20240513000870 |
Clinical Psychologist Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Madison St, Suite 402, Denver, CO 80206 Phone: 720-272-0565 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Alis Behavioral Health Of Colorado Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222 Phone: 888-528-3860 | |
Bonnie Brae Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N Grant St Ste C, Denver, CO 80203 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 | |
Magnolia Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 N Lafayette St Ste 104, Denver, CO 80218 Phone: 303-209-5115 |