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Organization
LIGHTHOUSE SUPPORTIVE SERVICES LLC
Active
Organization
LIGHTHOUSE SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V'TESSA JAZMEN WATSON LMFT (CEO)
(804) 504-2976
Entity
Organization
Contact information
Practice address
3918 FERNDALE CIR, NORTH DINWIDDIE, VA 23803-6662
(804) 504-2976
Mailing address
3918 FERNDALE CIR, NORTH DINWIDDIE, VA 23803-6662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
06/16/2026
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