National Provider Identifier Database

LIGHTHOUSE COUNSELING PC
Professional


Contact Information

LIGHTHOUSE COUNSELING PC
121 JACKSON STREET
NEWNAN, GA30263
Phone: 770-251-5873
Fax: 770-304-2201
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE COUNSELING PC

NPI Number 1205961232
Legal business name
LBN
LIGHTHOUSE COUNSELING PC
Authorized official THOMAS FREEMAN - (OWNER PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 07/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: LPC002899
  • GA License #: LPC003462
  • GA License #: PSY001469
  • GA License #: PSY002042
  • GA License #: PSY002610
  • GA License #: PSY002820
  • GA License #: PSY002947
  • GA Medicaid: 00458818D
  • GA Medicaid: 00727658C
  • GA Medicaid: 00964598A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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