Lightbourne, Genesis

Lightbourne, Genesis is an individual health care provider with primary practice located at 3925 Martin Luther King B Suite 212, North Las Vegas NV 89032. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lightbourne, Genesis can be contacted via phone (702) 503-9544.

Contact Information

Primary practice address
3925 Martin Luther King B Suite 212 North Las Vegas NV 89032
Phone: (702) 503-9544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12959-C Nevada
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1649543471
LBN Legal business name Lightbourne, Genesis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Mar 11th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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