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General NPI Number Information
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NPI Number | 1750117727
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE COUNSELING AND ASSESSMENT
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2836 N KELLY AVE STE 103
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City | EDMOND
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State | OK
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Zip | 73003-3154
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Country | US
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Telephone | 405-237-8949
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 N KELLY AVE STE 103
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City | EDMOND
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State | OK
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Zip | 73003-3154
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Country | US
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Telephone | 405-237-8949
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. LEISHA TOMPKINS
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Credential | LP
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Telephone | 405-237-8949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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