LIGHTHOUSE FAMILY SERVICE CENTER


Address: 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215
Phone: 4044196404

LIGHTHOUSE FAMILY SERVICE CENTER (NPI# 1134735202) 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) 1134735202
Entity Type Organization
Organization Name LIGHTHOUSE FAMILY SERVICE CENTER
Practice Address 150 Stanley Ct Ste B
Lawrenceville
GA 30046-5215
Practice Telephone 4044196404
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Authorized Official Name WIDLINE DALAMBERT-DUCENA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4044196404
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 150 STANLEY CT STE B
City LAWRENCEVILLE
State GA
Zip Code 30046-5215

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285248005 Laura Meeks Counselor 1929 Whitehawk Ct, Lawrenceville, GA 30043-6641 2020-08-31
1184237125 Luz Melania Soto Garcia Counselor 760 Longleaf Blvd Ste A, Lawrenceville, GA 30046-8458 2020-08-28
1962063354 Connie Deckard Counselor Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 2019-06-26
1366001695 Holton Ariel Daniel Counselor 233 N Main St Ste B, Lawrenceville, VA 23868-1807 2019-06-11
1326603119 Easter's Family Services Counselor 102 E Hicks St Ste 303, Lawrenceville, VA 23868-1830 2019-05-07
1023577053 Brittany Williams Counselor 175 Gwinnet Drive, Lawrenceville, GA 30046-8444 2019-03-19
1699230052 Josephine Lola Banjoko Counselor 1402 Park Hollow Ln, Lawrenceville, GA 30043-3878 2019-02-09
1285104315 Shalanda Monique Booker Counselor 2940 Emerald Springs Drive, Lawrenceville, GA 30045 2018-12-02
1902376551 Lekicha Monique Cabiness Counselor 102 Hicks St. Suite 303, Lawrenceville, VA 23868 2018-11-27
1770079196 Nathalia Lopez Counselor 1 Vanderveer Dr, Lawrenceville, NJ 08648-3113 2018-07-09
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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