NPI | 1033597315 |
---|---|
Doing Business As | LIGHTHOUSE COUNSELING |
Entity Type | Organization |
Authorized Contact | VINEESHA RATHNAM Partner 269-408-6031 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014597) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401012473) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2015-05-07 |