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General NPI Number Information
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NPI Number | 1467395434
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 15 CONSTITUTION DR
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City | BEDFORD
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State | NH
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Zip | 03110-6042
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Country | US
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Telephone | 617-819-5714
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SUMMER AVE
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City | HUDSON
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State | NH
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Zip | 03051-3640
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Country | US
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Telephone | 617-819-5714
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Fax |
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Authorized Official
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Title or Position | OWNER, CMHC
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Name | ASHLEY SANTANA
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Credential |
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Telephone | 617-819-5714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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