| NPI | 1366136541 |
|---|---|
| Doing Business As | LIGHTHOUSE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | EARNEST WALLACE CEO 469-297-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-09-29 |