| Lighthouse Behavioral Health, Llc | |
|
533 N Nova Rd Ste 112 Ormond Beach FL 32174-4420 | |
| (386) 492-9041 | |
| (386) 492-9061 |
| Full Name | Lighthouse Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 533 N Nova Rd Ste 112, Ormond Beach, Florida |
| Authorized Official Name and Position | Courtney Mahairas (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3864929041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Health, Llc 533 N Nova Rd Ste 112 Ormond Beach FL 32174-4420 Ph: (386) 492-9041 | Lighthouse Behavioral Health, Llc 533 N Nova Rd Ste 112 Ormond Beach FL 32174-4420 Ph: (386) 492-9041 |
| NPI Number | 1609316959 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609316959 | NPI | - | NPPES |
| 104796400 | Medicaid | FL | |
| 104313500 | Medicaid | FL |
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