# PORCH LIGHT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** na
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124645999
- **Authorized official:** MS. LORI CAMPBELL LCSW (THERAPIST)
- **Authorized official phone:** (443) 449-9034

## Contact information

- **Practice address:** 6263 W TWAIN AVE, LAS VEGAS, NV 89103-1153
- **Practice address phone:** (443) 449-9034
- **Mailing address:** 6263 W TWAIN AVE, LAS VEGAS, NV 89103-1153
- **Mailing address phone:** (443) 449-9034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/28/2020
- **Last updated:** 01/25/2021