Provider Demographics
NPI:1447138219
Name:LIGHTHOUSE PATHWAYS LLC
Entity type:Organization
Organization Name:LIGHTHOUSE PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAMAWIT
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKBIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-741-7021
Mailing Address - Street 1:1412 S PARKER RD
Mailing Address - Street 2:UNIT A124, PMB #1027
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231
Mailing Address - Country:US
Mailing Address - Phone:720-741-7021
Mailing Address - Fax:
Practice Address - Street 1:1412 S PARKER RD UNIT A124
Practice Address - Street 2:1412 S PARKER RD, UNIT A124, PMB #1027
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231
Practice Address - Country:US
Practice Address - Phone:720-741-7021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty