OrganizationActive
Lighthouse Support Services LLC
NPI 1134875727 · Substance Abuse Rehabilitation Facility · Mesa, AZ
Provider details
- NPI number
- 1134875727
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jessica Evans, Administrator(602) 526-0302
Specialties & taxonomies
Residential Treatment Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7303 E Main St Ste 106
Mesa, AZ 85207-8325
Phone: (480) 332-0385
Street-level locationGet directions
Mailing address
7303 E Main St Ste 106
Mesa, AZ 85207-8325
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.