| 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 |