Organization
THE LIGHTHOUSE OF LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA KAY WRIGHT TAPPLIN (OWNER)
(702) 633-7923
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 300-28, PHOENIX, AZ 85015-3210
(702) 633-7923
(702) 633-7610
Mailing address
730 W CHEYENNE AVE STE 40, NORTH LAS VEGAS, NV 89030-7849
(702) 633-7923
(702) 633-7610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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