| Lighthouse Clinical Counseling, Llc | |
|
3883 Rogers Bridge Road Suite 601 Duluth GA 30097 | |
| (770) 329-5405 | |
| Not Available |
| Full Name | Lighthouse Clinical Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3883 Rogers Bridge Road, Duluth, Georgia |
| Authorized Official Name and Position | Faithe Breanne Kimsey (EXECTIVE DIR/CEOECTOR) |
| Authorized Official Contact | 7703295405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Clinical Counseling, Llc 3883 Rogers Bridge Road Suite 601 Duluth GA 30097 Ph: (770) 329-5405 | Lighthouse Clinical Counseling, Llc 3883 Rogers Bridge Road Suite 601 Duluth GA 30097 Ph: (770) 329-5405 |
| NPI Number | 1982187068 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982187068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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