| Lighthouse Behavioral Wellness Center | |
|
1515 E Kearney St Ste 400 Mesquite TX 75149-2687 | |
| (214) 326-2288 | |
| Not Available |
| Full Name | Lighthouse Behavioral Wellness Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1515 E Kearney St Ste 400, Mesquite, Texas |
| Authorized Official Name and Position | Iresha Hayes (CEO) |
| Authorized Official Contact | 4696599538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Wellness Center 1203 Antoinette Dr Princeton TX 75407-2829 Ph: (469) 659-9538 | Lighthouse Behavioral Wellness Center 1515 E Kearney St Ste 400 Mesquite TX 75149-2687 Ph: (214) 326-2288 |
| NPI Number | 1316760002 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/10/2024 |
| Certification Date | 11/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316760002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
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