Provider Demographics
NPI:1700675279
Name:LIGHTWELLS COUNSELING PLLC
Entity type:Organization
Organization Name:LIGHTWELLS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:HUNKA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-519-3550
Mailing Address - Street 1:2983 S VRAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-2116
Mailing Address - Country:US
Mailing Address - Phone:214-519-3550
Mailing Address - Fax:
Practice Address - Street 1:2983 S VRAIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-2116
Practice Address - Country:US
Practice Address - Phone:214-519-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty