Lighthouse Clinic, Inc. in Milwaukee - Psychiatry

Lighthouse Clinic, Inc. - NPI 1265451280

Lighthouse Clinic, Inc. is a Psychiatry in Milwaukee, Wisconsin. Lighthouse Clinic, Inc. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Lighthouse Clinic, Inc. is 1265451280. The last update date is 2014-07-11.

Lighthouse Clinic, Inc.'s current location address is 2577 N Downer Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149649200 and fax number 4149644816. The mailing address for Lighthouse Clinic, Inc. is 2577 N Downer Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lighthouse Clinic, Inc.
Address 2577 N Downer Ave, Milwaukee, Wisconsin
Phone Number 4149649200
Fax Number 4149644816
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mendelberg E Hava
Credentials PHD
Telephone Number 4149649200

NPI Number Detail

NPI Number 1265451280
Provider Enumeration Date 2006-07-19
Last Updated Date 2014-07-11

Provider Mailing Address Detail

Address 2577 N Downer Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532114253
Phone Number 4149649200
Fax Number 4149644816

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42149800 WI --

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FAQs about Lighthouse Clinic, Inc.

What is the unique provider identifier assigned to Lighthouse Clinic, Inc.?

The Lighthouse Clinic, Inc. has been issued the NPI (National Provider Identifier) 1265451280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lighthouse Clinic, Inc.'s facilities are geographically located?

The facilities of Lighthouse Clinic, Inc. are physically situated at the following location: 2577 N Downer Ave, Milwaukee, WI, 532114253.

What is the area of specialization for Lighthouse Clinic, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lighthouse Clinic, Inc. is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1265451280 to Lighthouse Clinic, Inc.?

The Lighthouse Clinic, Inc. received its 1265451280 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.

When was the information regarding Lighthouse Clinic, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lighthouse Clinic, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-11.

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