| NPI | 1861140824 |
|---|---|
| Doing Business As | I. C. LIGHTSTONE |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE GILMORE Owner 225-443-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-04-25 |