Lighthouse Therapy | |
6 Fulton St Apt 2 Weehawken NJ 07086-7407 | |
(551) 327-9077 | |
Not Available |
Full Name | Lighthouse Therapy |
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Speciality | Clinic/center - Adult Mental Health |
Location | 6 Fulton St Apt 2, Weehawken, New Jersey |
Authorized Official Name and Position | Ryan S Thurwachter-king (OWNER) |
Authorized Official Contact | 5513279077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Therapy 6 Fulton St Apt 2 Weehawken NJ 07086-7407 Ph: () - | Lighthouse Therapy 6 Fulton St Apt 2 Weehawken NJ 07086-7407 Ph: (551) 327-9077 |
NPI Number | 1578227112 |
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Provider Enumeration Date | 10/29/2021 |
Last Update Date | 10/29/2021 |
Certification Date | 10/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578227112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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