| Lighthouse Psychotherapy Llc | |
|
297 Kinderkamack Rd Ste 298 Oradell NJ 07649-1538 | |
| (718) 757-1296 | |
| Not Available |
| Full Name | Lighthouse Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 297 Kinderkamack Rd Ste 298, Oradell, New Jersey |
| Authorized Official Name and Position | Richard Moses (OWNER) |
| Authorized Official Contact | 7187571296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychotherapy Llc 297 Kinderkamack Rd Ste 298 Oradell NJ 07649-1538 Ph: (718) 757-1296 | Lighthouse Psychotherapy Llc 297 Kinderkamack Rd Ste 298 Oradell NJ 07649-1538 Ph: (718) 757-1296 |
| NPI Number | 1689207748 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689207748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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