| Lythouse, Llc | |
|
7002 W Whitedove Ln Apt 301 Middleburg Heights OH 44130-8451 | |
| (330) 317-2163 | |
| Not Available |
| Full Name | Lythouse, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7002 W Whitedove Ln Apt 301, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Joseph J Fath (FOUNDER/OWNER) |
| Authorized Official Contact | 2162007084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lythouse, Llc 7002 W Whitedove Ln Apt 301 Middleburg Heights OH 44130-8451 Ph: (330) 317-2163 | Lythouse, Llc 7002 W Whitedove Ln Apt 301 Middleburg Heights OH 44130-8451 Ph: (330) 317-2163 |
| NPI Number | 1336982735 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336982735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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