The Lighthouse Counseling Clinic, Inc.

NPI 1295916617 - Case Management - 251B00000X

NPI Details
NPI 1295916617
Enumeration Date 11/14/2007
Last Updated 11/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LUANN LUANN
Position CEO
Phone (770) 474-1946
Fax (770) 389-9310
Practice Location
1514 ROCK QUARRY RD
STOCKBRIDGE GA, 30281-5047, US
Phone (770) 474-1946
Fax (770) 389-9310
Business Location
1514 ROCK QUARRY RD
STOCKBRIDGE GA, 30281-5047, US
Phone (770) 474-1946
Fax (770) 389-9310
Toxanomy
Taxonomy Code 251B00000X
License State Georgia
License Number 00958545
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According to our database, The Lighthouse Counseling Clinic, Inc. NPI is 1295916617, taxonomy code is 251B00000X and license number is 00958545, license state is located at Georgia. The Lighthouse Counseling Clinic, Inc. physically located at 1514 Rock Quarry Rd, Stockbridge GA, 30281-5047. NPI Number 1033115704 has the healthcare provider type.

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1295916617 NPI number is provided on an as is basis without warranty of any kind. 1295916617 is maintained by the National Plan & Provider Enumeration System. The contents of The Lighthouse Counseling Clinic, Inc. are for informational purposes only.