LIGHTHOUSE COUNSELING CENTER AND ASSOCIATED THERAPEUTIC SERVICES, LLC


Address: 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398
Phone: 9103233368

LIGHTHOUSE COUNSELING CENTER AND ASSOCIATED THERAPEUTIC SERVICES, LLC (NPI# 1023415551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023415551
Entity Type Organization
Organization Name LIGHTHOUSE COUNSELING CENTER AND ASSOCIATED THERAPEUTIC SERVICES, LLC
Practice Address 901 Arsenal Ave
Suite 202
Fayetteville
NC 28305-5398
Practice Telephone 9103233368
Practice Fax Number 9104867000
Mailing Telephone 9103233368
Mailing Fax Number 9104867000
Enumeration Date 2014-11-26
Last Update Date 2014-11-26
Authorized Official Name CHESTER MICHAEL MARTIN (OWNER, CEO)
Authorized Official Telephone 9103233368
Authorized Official Credential D.MIN; MA, MS, M
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316180565 Lighthouse Counseling Center and Associated Therapeutic Services, LLC Community/Behavioral Health 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 2009-04-16

Office Location

Street Address 901 ARSENAL AVE
SUITE 202
City FAYETTEVILLE
State NC
Zip Code 28305-5398

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629122817 Laurie Ann Powers Physician Assistant 901 Arsenal Ave, 202, Fayetteville, NC 28305-5478 2007-01-23
1255878906 Teresa Julia Bailey Social Worker 901 Arsenal Ave, Fayetteville, NC 28305-5398 2017-01-19
1407240005 Donisa Hammond Counselor 901 Arsenal Ave, 202, Fayetteville, NC 28305-5398 2015-03-23
1770971905 Sandy Lynn Paul Counselor 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 2014-12-22
1518370394 Joanne Lorraine Coddington Counselor 901 Arsenal Ave, Fayetteville, NC 28305-5398 2014-06-09
1023445707 Casey Durwood Groover Counselor 901 Arsenal Ave, Fayetteville, NC 28305-5398 2013-09-26
1427322312 Misty Karla Martin Counselor 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 2012-02-24
1407120397 Elizabeth L. Woida Counselor 901 Arsenal Ave, Ste 202, Fayetteville, NC 28305-5398 2012-02-24
1427328475 Christy Joy Cull Counselor 901 Arsenal Ave, Fayetteville, NC 28305-5398 2012-01-09
1407132079 Johnny D Leonard Counselor 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 2011-10-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437637733 Shannon S Wiggins Social Worker 2525 Raeford Rd Ste A, Fayetteville, NC 28305 2018-07-30
1205345790 Sarah Elizabeth Hudson Marriage & Family Therapist 214 Fairway Dr, Fayetteville, NC 28305 2017-09-27
1336533116 Avalon Counseling Services Pa Counselor 916 B Arsenal Ave, Fayetteville, NC 28305 2015-03-19
1568882827 Kenneth Brown Counselor 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 2014-04-24
1174879423 Lynette Maxwell Pierce Dentist 2537-b Raeford Rd, Fayetteville, NC 28305 2012-07-24
1356640973 Charlene Jones Social Worker 560 Lambert St, Fayetteville, NC 28305 2011-03-22
1659518173 Christine R Campbell Speech-Language Pathologist 2401 Roberson Street, Fayettville, NC 28305 2009-01-21
1588814628 Zakiya S Karim Pediatrics 1327 Robeson Street, Fayetteville, NC 28305 2008-09-25
1710134770 Bright Heart Healthcare Staffing Nursing Care 2504 Rareford Rd, Fayetteville, NC 28305 2008-08-21
1730272402 Dale A Childers Dentist 2409 Robeson Street, Fayetteville, NC 28305 2006-10-02
Find all providers in zip 28305

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528696796 Faith Springs Eternal (fase), Pllc Community/Behavioral Health 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 2020-04-01
1134684392 Carolina Outreach, LLC Community/Behavioral Health 324 Person St, Fayetteville, NC 28301-5736 2019-02-01
1124591094 Changing Places Therapeutic Center, Company Community/Behavioral Health 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 2019-01-03
1538632518 Benevolent Counseling, Pllc Community/Behavioral Health 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 2019-01-02
1386128031 Alexander Youth Network Community/Behavioral Health 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 2018-09-19
1811497639 Alexander Youth Network Community/Behavioral Health 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 2018-02-19
1629578851 Jeanette Bostick Community/Behavioral Health 1628 Turkey Run, Fayetteville, NC 28312-7643 2018-02-14
1942718325 A Mother's Pursuit, LLC Community/Behavioral Health 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 2018-01-18
1992213771 Deborah A Atkinson Phd Pllc Community/Behavioral Health 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 2018-01-16
1841739455 Aci Support Specialists Community/Behavioral Health 414 Snowhill Rd, Fayetteville, NC 28306-9073 2017-02-15
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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