# LIGHTHOUSE MENTAL WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134749476
- **Authorized official:** JENNIFER DOUGLAS LPC (OWNER)
- **Authorized official phone:** (832) 576-9097

## Contact information

- **Practice address:** 3190 S VAUGHN WAY STE 550, AURORA, CO 80014-3538
- **Practice address phone:** (720) 546-9963
- **Mailing address:** 3670 S OURAY CIR, AURORA, CO 80013-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 04/16/2020