NPI 1295916617

The Lighthouse Counseling Clinic, INC.

Organisation Case Management Agency Stockbridge, GA

Practice location

Address: 1514 Rock Quarry Rd, Stockbridge, GA 30281-5047
Phone: (770) 474-1946
Fax: (770) 389-9310

Authorised official

Name: Luann Callaway
Title: Ceo
Phone: (770) 474-1946

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 00958545 (GA)

Other Case Management providers in Georgia →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1295916617
Entity type: Organization
NPI issued: 14 Nov 2007
Record last updated: 14 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.