Organization · NPI-2

Lighthouse Counseling & Wellness, PLLC

Clinic/Center, Adult Mental Health · Mount Vernon, WA

NPI number1336998970
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1336998970
Entity type
Organization (NPI-2)
Legal business name
Lighthouse Counseling & Wellness, PLLC
Organization subpart
No
Enumeration date
May 15, 2024
Certification date
May 15, 2024
Last updated
May 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Other names

  • Lighthouse Counseling & Wellness (Doing Business As)

Practice location

2124 Riverside Dr Ste 210
Mount Vernon, WA 98273-5454

Phone 360-230-8424

Mailing address

2124 Riverside Dr
Ste 210
Mount Vernon, WA 98273-5454

Phone 206-612-4452

Authorized official

Emily Evergreen
Owner
2066124452

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