| Lightfully Behavioral Health | |
|
2945 Townsgate Rd Ste 320 Thousand Oaks CA 91361-5867 | |
| (760) 918-1505 | |
| Not Available |
| Full Name | Lightfully Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2945 Townsgate Rd Ste 320, Thousand Oaks, 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: (805) 728-9093 | Lightfully Behavioral Health 2945 Townsgate Rd Ste 320 Thousand Oaks CA 91361-5867 Ph: (760) 918-1505 |
| NPI Number | 1144936311 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144936311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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