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LIGHTHOUSE PSYCHIATRY & BEHAVIORAL HEALTH CLINIC LLC NPI 1730855768


NPI Information

NPI: 1730855768
Provider Name: LIGHTHOUSE PSYCHIATRY & BEHAVIORAL HEALTH CLINIC LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
8215 MADISON BLVD STE 130
MADISON, AL
ZIP 35758
Phone: (256) 325-2500
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LIGHTHOUSE PSYCHIATRY & BEHAVIORAL HEALTH CLINIC LLC is a psychiatric/mental health nurse practitioner in Madison, AL. LIGHTHOUSE PSYCHIATRY & BEHAVIORAL HEALTH CLINIC LLC NPI is 1730855768. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8215 MADISON BLVD STE 130
MADISON, AL
ZIP 35758-000
Phone: (256) 325-2500

The provider's authorized official is Katy Cousart .
The authorized official title is Crnp and has the following contact phone number (256) 325-2500.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11851942486OTHERANGELA WALDROP
21205874856OTHERDORIS BELL
31649710880OTHERKATY FRAZIER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.