| Lighthouse Behavioral Services, Llc | |
|
1081 3rd Ave Sw Ste 7 Carmel IN 46032-7500 | |
| (317) 564-0934 | |
| (765) 807-7983 |
| Full Name | Lighthouse Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1081 3rd Ave Sw Ste 7, Carmel, Indiana |
| Authorized Official Name and Position | Lydia Ann Fox (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3174096151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Services, Llc 1389 W 86th St # 170 Indianapolis IN 46260-2101 Ph: (317) 564-0934 | Lighthouse Behavioral Services, Llc 1081 3rd Ave Sw Ste 7 Carmel IN 46032-7500 Ph: (317) 564-0934 |
| NPI Number | 1598186363 |
|---|---|
| Provider Enumeration Date | 12/22/2013 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1118239 (Indiana) | Primary |
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