| Lighthouse Therapy Services, Llc | |
|
410 Main St W Ste C Hartselle AL 35640-2428 | |
| (256) 502-5116 | |
| Not Available |
| Full Name | Lighthouse Therapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 410 Main St W Ste C, Hartselle, Alabama |
| Authorized Official Name and Position | Stephanie Kenney (MANAGER) |
| Authorized Official Contact | 2567363746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapy Services, Llc Po Box 55 Hartselle AL 35640-0055 Ph: () - | Lighthouse Therapy Services, Llc 410 Main St W Ste C Hartselle AL 35640-2428 Ph: (256) 502-5116 |
| NPI Number | 1710708110 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710708110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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