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

Organization Clinical Psychologist · NPI 1033817333

Lighthouse Support Services LLC is a Clinical Psychologist in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7516 E Main St Ste 1
Mesa, AZ 85207-8332
Phone: (602) 526-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Clinical Medical Laboratory Taxonomy 291U00000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1033817333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Evans — Admin · (602) 526-0302
NPI enumeratedFebruary 16, 2023
Last updated in NPPESMarch 15, 2024
Certification dateDecember 15, 2023
Mailing address7516 E Main St Ste 1, Mesa, AZ 85207-8332

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