Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY PAVEK OLSON MA (CFO)
(763) 780-3307
Entity
Organization
Contact information
Practice address
1551 PAYNE AVE, SAINT PAUL, MN 55130-3218
(763) 780-3077
Mailing address
1314 81ST AVE NE, SPRING LAKE PARK, MN 55432-2116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
08/12/2021
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