| NPI | 1306737648 |
|---|---|
| Doing Business As | LIGHTHOUSE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LOGUE Owner 850-249-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |