Lighthouse Youth & Family Services | |
1071 Tong Hollow Rd Bainbridge OH 45612-9421 | |
(740) 634-3094 | |
(740) 634-3047 |
Full Name | Lighthouse Youth & Family Services |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1071 Tong Hollow Rd, Bainbridge, Ohio |
Authorized Official Name and Position | Thuy Kolik (VICE PRESIDENT, CFO & CAO) |
Authorized Official Contact | 5134877106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Youth & Family Services 401 E Mcmillan St Cincinnati OH 45206-1922 Ph: (513) 487-7106 | Lighthouse Youth & Family Services 1071 Tong Hollow Rd Bainbridge OH 45612-9421 Ph: (740) 634-3094 |
NPI Number | 1053389841 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 01/12/2024 |
Certification Date | 01/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053389841 | NPI | - | NPPES |
06883 | Other | OH | ALCOHOL & DRUG TREATMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Primary |