Organization
LIGHTHOUSE FAMILY THERAPY PROF LLC
Active
Parent organization
LIGHTHOUSE FAMILY THERAPY PROF LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE FAMILY THERAPY PROF LLC
Authorized official
JENNIFER N BERGIN (OWNER)
(303) 929-6743
Entity
Organization
Contact information
Practice address
1330 OAKRIDGE DR UNIT 105, FORT COLLINS, CO 80525-9651
(970) 460-6762
(970) 680-7250
Mailing address
1785 NIGHTFALL DR, WINDSOR, CO 80550-3489
(970) 460-6762
(970) 680-7250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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