A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Marriage & Family Therapist |
106H00000X |
| NPI # | 1215022041 |
||||
| LBN Legal business name | THE COMMUNITY LIGHTHOUSE | ||||
| Authorized official | PIERCE FERRIEGEL - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/04/2006 | ||||
| Last updated | 07/17/2014 - About 12 years ago | ||||
| Identifiers |
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THE COMMUNITY LIGHTHOUSE
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