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Lighthouse Support Services Llc
Substance Abuse Rehabilitation Facility in Mesa, Arizona
NPI 1134875727

Lighthouse Support Services Llc is a Substance Abuse Rehabilitation Facility based in Mesa, AZ. Lighthouse Support Services Llc practices in Mesa, AZ. The NPI Number for Lighthouse Support Services Llc is 1134875727 and holds a License No. (Arizona).

The current practice location address for Lighthouse Support Services Llc is 7303 E Main St Ste 106, Mesa, AZ and can be reached out via phone at 480-332-0385.

Location: 7303 E Main St Ste 106, Mesa, AZ, 85207-8325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134875727
Provider Name
Lighthouse Support Services Llc
Credential
Provider Entity Type
Organization
Address
7303 E Main St Ste 106, Mesa, AZ, 85207-8325
Phone Number
480-332-0385
Fax Number
Provider Enumeration Date
02/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7303 E Main St Ste 106
City
Mesa
State
Arizona
Zip
85207-8325
Phone Number
480-332-0385
Fax Number
person
Provider Business Mailing Address Details
Address
7303 E Main St Ste 106
City
Mesa
State
Arizona
Zip
85207-8325
Phone Number
480-332-0385
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
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 3
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 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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