| Lighthouse Care Center Of Oconee | |
|
391 White Rock Rd Tamassee SC 29686-2015 | |
| (864) 944-9875 | |
| (706) 651-7666 |
| Full Name | Lighthouse Care Center Of Oconee |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 391 White Rock Rd, Tamassee, South Carolina |
| Authorized Official Name and Position | Debby Theis (CFO) |
| Authorized Official Contact | 7066510005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Care Center Of Oconee 3100 Perimeter Pkwy Augusta GA 30909-4583 Ph: (706) 651-0005 | Lighthouse Care Center Of Oconee 391 White Rock Rd Tamassee SC 29686-2015 Ph: (864) 944-9875 |
| NPI Number | 1649436015 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649436015 | NPI | - | NPPES |
| 885MXH | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 23245800006 (South Carolina) | Primary |