Light House Family Services

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

BH3417 Issued in AZ

Legal business name

LIGHT HOUSE FAMILY SERVICES

Practice address

3910 W Darrow St
Phoenix, AZ 85041-6010

Phone

(602) 237-4066

Fax

(602) 237-4066

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Claudette Walker-SimonNPI 1760717730

Title

Owner

Phone

(602) 237-4066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudette Walker-Simon, BS

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1760717730
  NPD (past) Authorized official

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1295060788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 W DARROW ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416010",
            "telephone_number": "602-237-4066",
            "fax_number": "602-237-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 W DARROW ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416010",
            "telephone_number": "602-237-4066",
            "fax_number": "602-237-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT HOUSE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "WALKER-SIMON",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-237-4066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AZ",
            "license": "BH3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifewell Behavioral Wellness
• Lifewell Behavioral Wellness
• Lifting Spirits Inc.
• Melissa Lynn Liggins, NNP
• Light Center Behavioral Health LLC
• Light-Point Wellness, LLC
• Amy Jo Light, MD.
• Esenia Linda Lightbourne, LPN
• Andrew Edward Liguori, DO
• Susannamma Lijan, PMHNP

• All providers in Phoenix, AZ
• Children's Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.