# LIGHT HOUSE CASE MANAGEMENT

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

## Provider details

- **NPI number:** 1922639335
- **Authorized official:** MS. STEPHANIE LAMPLEY FLYE (CEO)
- **Authorized official phone:** (832) 808-8554

## Contact information

- **Practice address:** 14510 GABLE MOUNTAIN CIR, HOUSTON, TX 77090-2333
- **Practice address phone:** (832) 808-8554
- **Mailing address:** 14510 GABLE MOUNTAIN CIR, HOUSTON, TX 77090-2333
- **Mailing address phone:** (832) 808-8554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2020
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083270698 | — | TX |