NPI 1134749476

Lighthouse Mental Wellness

Organisation Public Health or Welfare Agency Aurora, CO

Practice location

Address: 3190 S Vaughn Way STE 550, Aurora, CO 80014-3538
Phone: (720) 546-9963
Mailing address: 3670 S Ouray Cir, Aurora, CO 80013-2857

Authorised official

Name: Jennifer Douglas
Title: Owner
Phone: (832) 576-9097

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1134749476
Entity type: Organization
NPI issued: 16 Apr 2020
Record last updated: 16 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.