# LIGHTHOUSE SUPPORTIVE SERVICES LLC

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

## Provider details

- **NPI number:** 1639013550
- **Authorized official:** DR. V'TESSA JAZMEN WATSON LMFT (CEO)
- **Authorized official phone:** (804) 504-2976

## Contact information

- **Practice address:** 3918 FERNDALE CIR, NORTH DINWIDDIE, VA 23803-6662
- **Practice address phone:** (804) 504-2976
- **Mailing address:** 3918 FERNDALE CIR, NORTH DINWIDDIE, VA 23803-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 06/16/2026