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Contact Information

LIGHTHOUSE COUNSELING PC
121 JACKSON STREET
NEWNAN, GA30263
 Phone: 770-251-5873
 Fax: 770-304-2201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE COUNSELING PC

NPI Number 1205961232
LBN Legal business name LIGHTHOUSE COUNSELING PC
Authorized official THOMAS FREEMAN - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 07/24/2007 - About 19 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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