Organization
THE LIGHTHOUSE PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLYN ORTEGA LMFT (DIRECTOR)
(786) 535-0453
Entity
Organization
Contact information
Practice address
113 CURTISS PKWY, MIAMI SPRINGS, FL 33166-5220
(786) 535-0453
Mailing address
113 CURTISS PKWY, MIAMI SPRINGS, FL 33166-5220
(786) 535-0453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
016420400
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016420400
—
FL
05
—
017504300
—
FL
05
—
108167000
—
FL
Enumeration date
03/19/2015
Last updated
02/06/2025
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