Organization
LIGHTHOUSE THERAPY CENTER OF FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLYN WIMMER (OWNER)
(469) 460-5237
Entity
Organization
Contact information
Practice address
6421 CAMP BOWIE BLVD STE 100, FORT WORTH, TX 76116-5419
(469) 460-5237
(817) 717-5169
Mailing address
7904 VISTA RIDGE DR S, FORT WORTH, TX 76132-4530
(469) 460-5237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/01/2022
Last updated
02/25/2026
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