Light Center Behavioral Health Llc

LBN: Light Center Behavioral Health Llc
Light Center Behavioral Health Llc is an health care organization with primary practice located at 6619 N 19Th Ave # C1 , Phoenix AZ 85015-1631. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Light Center Behavioral Health Llc can be contacted via phone (520) 445-5832, or through Ntiranyibagira, Anne Marie via phone (520) 445-5832.

Contact Information

Primary practice address
6619 N 19Th Ave # C1 Phoenix AZ 85015-1631
Phone: (520) 445-5832
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ntiranyibagira, Anne Marie
Phone: (520) 445-5832

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1700598489
LBN Legal business name Light Center Behavioral Health Llc
DBA Doing business as
Authorized official Ntiranyibagira, Anne Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2022
Last updated Dec 14th, 2022 - about 4 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 1700598489 NPPES
Arizona MEDICAID BH8241

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