| NPI | 1689207748 |
|---|---|
| Doing Business As | LIGHTHOUSE PSYCHOTHERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD MOSES Owner 718-757-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-12-08 |