36D2252735 CLIA NUMBER - LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC

Laboratory Demographics

CLIA Number: 36D2252735

Facility Name: LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC

Facility Address:
635 W SPRING ST
LIMA, OH
ZIP 45801
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Facility Phone Number: 614 334-6903

Facility Type: Other - DIP TESTING

Certificate Type: Waiver

NPI Number: 1972086395

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 36D2252735
LAB Type Other - DIP TESTING
Facility Name LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC
Street 635 W SPRING ST
City LIMA
State OH
ZIP 45801
Phone 614 334-6903
CertificateType 4
CertificateEffectiveDate 2/14/2024
CertificateExpirationDate 2/13/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024