Organization
LIGHTHOUSE MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOUGLAS LPC (OWNER)
(832) 576-9097
Entity
Organization
Contact information
Practice address
3190 S VAUGHN WAY STE 550, AURORA, CO 80014-3538
(720) 546-9963
Mailing address
3670 S OURAY CIR, AURORA, CO 80013-2857
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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