Lighthouse Youth Services Inc. in Bainbridge - Addiction (substance Use Disorder)

Lighthouse Youth Services Inc. - NPI 1053389841

Lighthouse Youth Services Inc. is a Addiction (substance Use Disorder) in Bainbridge, Ohio. Lighthouse Youth Services Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lighthouse Youth Services Inc. is 1053389841. The last update date is 2020-08-22.

Lighthouse Youth Services Inc.'s current location address is 1071 Tong Hollow Rd, Bainbridge, Ohio. You can contact this provider via phone number 7406343094 and fax number 7406343047. The mailing address for Lighthouse Youth Services Inc. is 1071 Tong Hollow Rd, Bainbridge, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lighthouse Youth Services Inc.
Address 1071 Tong Hollow Rd, Bainbridge, Ohio
Phone Number 7406343094
Fax Number 7406343047
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Winther Marilon
Telephone Number 5132213350

NPI Number Detail

NPI Number 1053389841
Provider Enumeration Date 2006-03-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1071 Tong Hollow Rd
City Bainbridge
State Ohio (OH)
Post Code 456129421
Phone Number 7406343094
Fax Number 7406343047

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6883 OH ALCOHOL & DRUG TREATMENT

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FAQs about Lighthouse Youth Services Inc.

What is the unique provider identifier assigned to Lighthouse Youth Services Inc.?

The Lighthouse Youth Services Inc. has been issued the NPI (National Provider Identifier) 1053389841 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Lighthouse Youth Services Inc. located?

The Lighthouse Youth Services Inc. is located at 1071 Tong Hollow Rd, Bainbridge, OH 456129421.

What is Lighthouse Youth Services Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lighthouse Youth Services Inc. is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

When was the Lighthouse Youth Services Inc.'s 1053389841 issued?

The Lighthouse Youth Services Inc.'s 1053389841 was issued on 2006-03-09.

As of what date were the details related to Lighthouse Youth Services Inc. most recently updated or revised?

The information pertaining to Lighthouse Youth Services Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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