Lighthouse Therapy Llc | |
812 20th Ave E Jasper AL 35501-4024 | |
(205) 388-9216 | |
Not Available |
Full Name | Lighthouse Therapy Llc |
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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 |
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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 |
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Provider Enumeration Date | 05/17/2013 |
Last Update Date | 05/17/2013 |
Identifier | Type | State | Issuer |
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1801232798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2349C (Alabama) | Primary |
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