Lighthouse Counseling, Inc. in Jacksonville - Clinical
Lighthouse Counseling, Inc. - NPI 1750337515
Lighthouse Counseling, Inc. is a Clinical in Jacksonville, North Carolina. Lighthouse Counseling, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lighthouse Counseling, Inc. is 1750337515. The last update date is 2020-08-22.
Lighthouse Counseling, Inc.'s current location address is 824 Gum Branch Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9109890900 and fax number 9109890377. The mailing address for Lighthouse Counseling, Inc. is 824 Gum Branch Rd, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lighthouse Counseling, Inc. |
|---|---|
| Address | 824 Gum Branch Rd, Jacksonville, North Carolina |
| Phone Number | 9109890900 |
| Fax Number | 9109890377 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Burd John |
| Credentials | LCSW |
| Telephone Number | 9109890900 |
NPI Number Detail
| NPI Number | 1750337515 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 824 Gum Branch Rd |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285406269 |
| Phone Number | 9109890900 |
| Fax Number | 9109890377 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Lighthouse Counseling, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Lighthouse Counseling, Inc. has been assigned the NPI (National Provider Identifier) 1750337515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lighthouse Counseling, Inc.?
The Lighthouse Counseling, Inc. is situated at 824 Gum Branch Rd, in the city of Jacksonville, state of NC, with the zip code 285406269.
What is the area of specialization for Lighthouse Counseling, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lighthouse Counseling, Inc. is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750337515 to Lighthouse Counseling, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1750337515 to Lighthouse Counseling, Inc. on 2006-05-25.
As of what date were the details pertaining to Lighthouse Counseling, Inc. last refreshed?
The information related to the Lighthouse Counseling, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC