Guiding Lighthouse Therapy, Llc

LBN: Guiding Lighthouse Therapy, Llc
Guiding Lighthouse Therapy, Llc is an health care organization with primary practice located at 2306 Nw Kings Blvd , Corvallis OR 97330-3925. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Guiding Lighthouse Therapy, Llc can be contacted via phone (541) 286-5031, or through Koker, Patty via phone (541) 286-5031.

Contact Information

Primary practice address
2306 Nw Kings Blvd Corvallis OR 97330-3925
Phone: (541) 286-5031
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koker, Patty Licensed Clinical Social Worker (LCSW)
Phone: (541) 286-5031

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1457199986
LBN Legal business name Guiding Lighthouse Therapy, Llc
DBA Doing business as
Authorized official Koker, Patty Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2024
Last updated Jul 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457199986 NPPES
Oregon MEDICAID 1053887109

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