| Lightfully Behavioral Health | |
|
285 N El Camino Real Ste 114 Encinitas CA 92024-5384 | |
| (888) 576-2808 | |
| Not Available |
| Full Name | Lightfully Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 285 N El Camino Real Ste 114, Encinitas, California |
| Authorized Official Name and Position | Tracy Marie Rogers (VP OF REVENUE) |
| Authorized Official Contact | 8057289093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightfully Behavioral Health Po Box 45973 San Francisco CA 94145-0973 Ph: () - | Lightfully Behavioral Health 285 N El Camino Real Ste 114 Encinitas CA 92024-5384 Ph: (888) 576-2808 |
| NPI Number | 1558006429 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558006429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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