location
search-icon
institution
Lighthouse Trauma Therapy Llc
Adolescent and Children Mental Health Clinic/Center in Provo, Utah
NPI 1043925902

Lighthouse Trauma Therapy Llc is an Adolescent and Children Mental Health Clinic/Center based in Provo, UT and is specialized in Adolescent and Children Mental Health. Lighthouse Trauma Therapy Llc practices in Provo, UT. The NPI Number for Lighthouse Trauma Therapy Llc is 1043925902 and holds a License No. (Utah).

The current practice location address for Lighthouse Trauma Therapy Llc is 883 S 1540 E, Provo, UT and can be reached out via phone at 801-829-1311.

Location: 883 S 1540 E, Provo, UT, 84606-6743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043925902
Provider Name
Lighthouse Trauma Therapy Llc
Credential
Provider Entity Type
Organization
Address
883 S 1540 E, Provo, UT, 84606-6743
Phone Number
801-829-1311
Fax Number
Provider Enumeration Date
01/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
883 S 1540 E
City
Provo
State
Utah
Zip
84606-6743
Phone Number
801-829-1311
Fax Number
person
Provider Business Mailing Address Details
Address
883 S 1540 E
City
Provo
State
Utah
Zip
84606-6743
Phone Number
801-829-1311
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.