| Lighthouse Behavior Center, Llc | |
|
27 Se 24th Ave Pompano Beach FL 33062-5346 | |
| (281) 881-7983 | |
| Not Available |
| Full Name | Lighthouse Behavior Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27 Se 24th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Angela L Tallo (CO-CEO CO-FOUNDER) |
| Authorized Official Contact | 2818817983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavior Center, Llc 27 Se 24th Ave Pompano Beach FL 33062-5346 Ph: (281) 881-7983 | Lighthouse Behavior Center, Llc 27 Se 24th Ave Pompano Beach FL 33062-5346 Ph: (281) 881-7983 |
| NPI Number | 1093387250 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093387250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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