Healthcare Provider Details

I. General information

NPI: 1669008181
Provider Name (Legal Business Name): LIGHTSTONE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 S PIERCE ST STE 202F
LITTLETON CO
80128-4563
US

IV. Provider business mailing address

5250 S HURON WAY APT 5-308
LITTLETON CO
80120-1475
US

V. Phone/Fax

Practice location:
  • Phone: 720-551-7556
  • Fax:
Mailing address:
  • Phone: 303-523-3168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BRIAN HUGHES
Title or Position: OWNER / COUNSELOR
Credential: MA, LAC, LPCC
Phone: 720-551-7556