Organization
THE LIGHTHOUSE PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLYN ORTEGA (EXECUTIVE DIRECTOR)
(786) 522-7203
Entity
Organization
Contact information
Practice address
3507 LEE BLVD STE 280, LEHIGH ACRES, FL 33971-1314
(786) 522-7203
(786) 522-7204
Mailing address
3507 LEE BLVD STE 280, LEHIGH ACRES, FL 33971-1314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
10/24/2022
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