Lighthouse Clinical Counseling, LLC
Counselor, Professional in Duluth, GA. Organization (NPI-2).
NPI number1982187068
StatusActive
Last updated in NPPESSep 13, 2018
Details
- NPI
- 1982187068
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Clinical Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2018
- Last updated
- Sep 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
3883 Rogers Bridge RoadSuite 601
Duluth, GA 30097
Phone 770-329-5405
Mailing address
3883 Rogers Bridge RoadSuite 601
Duluth, GA 30097
Phone 770-329-5405
Authorized official
Faithe Breanne Kimsey
Exective Dir/Ceoector
7703295405
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