Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Mental Wellness PLLC

Organization Registered Dietitian · NPI 1821564790

Lighthouse Mental Wellness PLLC is a Registered Dietitian in Pembroke, Massachusetts. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28 Riverside Dr Ste 260
Pembroke, MA 02359-4947
Phone: (781) 472-7070
Fax: (781) 472-7071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1821564790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Banks — Psychiatric Np/Owner · (781) 427-7070
NPI enumeratedOctober 18, 2018
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address28 Riverside Dr Ste 260, Pembroke, MA 02359-4947

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