NPI | 1891283255 |
---|---|
Doing Business As | LIGHTHOUSE COUNSELING AND MEDIATION SERVICES |
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN FORD CEO 330-853-6523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0600491) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081188) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2023-12-21 |