Lighthouse Professional Clinics Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12-19P Issued in AR

Legal business name

LIGHTHOUSE PROFESSIONAL CLINICS INC

Practice address

2024 Arkansas Valley Dr
Ste 206
Little Rock, AR 72212-4166

Phone

(501) 246-7171

Fax

(501) 246-7171

NPI assigned

Dec 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Faye Jackson, PHDNPI 1619066982

Title

President

Phone

(205) 565-1694

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Faye Jackson, PH.D.

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1619066982
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1144651050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 ARKANSAS VALLEY DR",
            "address_2": "STE 206",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124166",
            "telephone_number": "501-246-7171",
            "fax_number": "501-246-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 ARKANSAS VALLEY DR",
            "address_2": "STE 206",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124166",
            "telephone_number": "501-246-7171",
            "fax_number": "501-246-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PROFESSIONAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-565-1694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "12-19P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestance Health - Arkansas, Inc. Dba Lifestance Health
• Rebecca Liggin, MD
• Jamia Deleece Liggins
• Scott Light
• Marla Harrison Lightburn, MD
• Lighting the Way Therapeutic Services
• Kaley Likes, OT
• Henry Lile, MD
• Scott A Lile, MD
• Amber N Lilley, APRN

• Community/Behavioral Health Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.