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LIGHTHOUSE PROFESSIONAL CLINIC P.C. NPI 1407902109


NPI Information

NPI: 1407902109
Provider Name: LIGHTHOUSE PROFESSIONAL CLINIC, P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
409 W LUDINGTON AVE STE 307
LUDINGTON, MI
ZIP 49431
Phone: (231) 843-8877
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LIGHTHOUSE PROFESSIONAL CLINIC, P.C. is a psychiatry psychiatry neurology in Ludington, MI. The provider is 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 disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIGHTHOUSE PROFESSIONAL CLINIC, P.C. NPI is 1407902109. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

409 W LUDINGTON AVE STE 307
LUDINGTON, MI
ZIP 49431-377
Phone: (231) 843-8877
Fax: (231) 845-0264

The provider's authorized official is Stanley L Seuferer .
The authorized official title is Owner and has the following contact phone number (231) 843-8877.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 6/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalMICHIGANNo
22084P0800XPsychiatry & NeurologyPsychiatryMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10E36176MEDICARE PINMICHIGAN
2800E310020OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
30N98050MEDICARE PINMICHIGAN
4100E310320OTHERMICHIGANBLUE CROSS BLUE SHIELD
5100E361760OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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