# LIGHTHOUSE THERAPY CENTER OF FORT WORTH

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

## Provider details

- **NPI number:** 1447999032
- **Authorized official:** ASHLYN WIMMER (OWNER)
- **Authorized official phone:** (469) 460-5237

## Contact information

- **Practice address:** 6421 CAMP BOWIE BLVD STE 100, FORT WORTH, TX 76116-5419
- **Practice address phone:** (469) 460-5237
- **Practice address fax:** (817) 717-5169
- **Mailing address:** 7904 VISTA RIDGE DR S, FORT WORTH, TX 76132-4530
- **Mailing address phone:** (469) 460-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 02/25/2026