Lighthouse Family Therapy Prof LLC

NPI #1982389003 in Fort Collins, Colorado

Provider Information

NPI Number: 1982389003
Entity Type: Organization
Organization Name: Lighthouse Family Therapy Prof LLC
Primary Specialty: Specialist
Enumeration Date: Jun 16, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 300 E HORSETOOTH RD STE 200
City: Fort Collins
State: Colorado
ZIP Code: 80525-3154
Phone: (303) 929-6743

Authorized Official

Name: JENNIFER BERGIN, LPC
Title: OWNER
Phone: (303) 929-6743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Speech-Language Pathologist	235Z00000X
Specialist	174400000X	Primary

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