LIGHTHOUSE HEALING CENTER LLC NPI 1316511066

NPI Information

NPI: 1316511066
Provider Name: LIGHTHOUSE HEALING CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 25D2237206

Address:
877 NORTHPARK DR STE 400
RIDGELAND, MS
ZIP 39157
Phone: (601) 454-5837
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LIGHTHOUSE HEALING CENTER, LLC is a mental health counselor in Ridgeland, MS. LIGHTHOUSE HEALING CENTER, LLC NPI is 1316511066. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

877 NORTHPARK DR STE 400
RIDGELAND, MS
ZIP 39157-220
Phone: (601) 454-5837

The provider's authorized official is Jacqueline Taylor .
The authorized official title is Member and has the following contact phone number (601) 454-5837.

The CLIA number assigned to this NPI record is 25D2237206 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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