Lighthorse Psychiatry LLC
Community/Behavioral Health in Saint Marys, GA. Organization (NPI-2).
NPI number1699208777
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1699208777
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthorse Psychiatry LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2017
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | RN044413 | GA | Yes |
Practice location
102 Lakeshore Dr Ste BSaint Marys, GA 31558-3875
Phone 912-882-3800 · Fax 912-882-3303
Mailing address
102 Lakeshore Dr Ste BSaint Marys, GA 31558-3875
Phone 912-882-3800 · Fax 912-882-3303
Authorized official
Nina C Leonard
Aprn
9126739907
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All 5 Community/Behavioral Health Agency providers in Saint Marys · All 486 providers in Saint Marys
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