Provider Demographics
NPI:1174194484
Name:LIGHTHOUSE CHRISTIAN COUNSELING, INC.
Entity Type:Organization
Organization Name:LIGHTHOUSE CHRISTIAN COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ALBERGARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-413-8998
Mailing Address - Street 1:5236 STRAUSS CABIN RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9555
Mailing Address - Country:US
Mailing Address - Phone:970-413-8998
Mailing Address - Fax:
Practice Address - Street 1:5236 STRAUSS CABIN RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-9555
Practice Address - Country:US
Practice Address - Phone:970-413-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty