NPI | 1548999261 |
---|---|
Former Legal Business Name | LIGHTHOUSE THERAPY LLC |
Entity Type | Organization |
Authorized Contact | SHERRI WEBSTER Lcsw 833-785-2315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-06-08 |
Last Update Date | 2022-09-17 |