| Lighthouse Therapy Llc | |
|
812 20th Ave E Jasper AL 35501-4024 | |
| (205) 388-9216 | |
| Not Available |
| Full Name | Lighthouse Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 812 20th Ave E, Jasper, Alabama |
| Authorized Official Name and Position | Brian Maloney (THERAPIST) |
| Authorized Official Contact | 2053105138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapy Llc 812 20th Ave E Jasper AL 35501-4024 Ph: () - | Lighthouse Therapy Llc 812 20th Ave E Jasper AL 35501-4024 Ph: (205) 388-9216 |
| NPI Number | 1801232798 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 05/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801232798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2349C (Alabama) | Primary |
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