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

Lighthouse Trauma Therapy LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1043925902

Lighthouse Trauma Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

883 S 1540 E
Provo, UT 84606-6743
Phone: (801) 829-1311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1043925902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aimi Campbell — Owner · (801) 829-1311
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023
Mailing address883 S 1540 E, Provo, UT 84606-6743

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