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The Lighthouse Behavior Health Center Llc
Professional Counselor in Duluth, Georgia
NPI 1891324588

The Lighthouse Behavior Health Center Llc is a Professional Counselor based in Duluth, GA and is specialized in Professional. The Lighthouse Behavior Health Center Llc practices in Duluth, GA. The NPI Number for The Lighthouse Behavior Health Center Llc is 1891324588 and holds a License No. (Georgia).

The current practice location address for The Lighthouse Behavior Health Center Llc is 4099 Buckingham Pl, Duluth, GA and can be reached out via phone at 404-992-9538.

Location: 4099 Buckingham Pl, Duluth, GA, 30096-4271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891324588
Provider Name
The Lighthouse Behavior Health Center Llc
Credential
Provider Entity Type
Organization
Address
4099 Buckingham Pl, Duluth, GA, 30096-4271
Phone Number
404-992-9538
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053892612 05 GA
institution
Provider Business Practice Location Address Details
Address
4099 Buckingham Pl
City
Duluth
State
Georgia
Zip
30096-4271
Phone Number
404-992-9538
Fax Number
person
Provider Business Mailing Address Details
Address
4099 Buckingham Pl
City
Duluth
State
Georgia
Zip
30096-4271
Phone Number
404-992-9538
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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