LIGHTHOUSE COUNSELING PC NPI 1205961232

NPI Information

NPI: 1205961232
Provider Name: LIGHTHOUSE COUNSELING PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
121 JACKSON STREET
NEWNAN, GA
ZIP 30263
Phone: (770) 251-5873
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LIGHTHOUSE COUNSELING PC is a professional counselor in Newnan, GA. LIGHTHOUSE COUNSELING PC NPI is 1205961232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

121 JACKSON STREET
NEWNAN, GA
ZIP 30263
Phone: (770) 251-5873
Fax: (770) 304-2201

The provider's authorized official is Thomas S Freeman .
The authorized official title is Owner President and has the following contact phone number (770) 251-5873.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/24/2007.

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
1	101YP2500X	Counselor	Professional	LPC002899	GEORGIA	No
2	103TC0700X	Psychologist	Clinical	PSY002042	GEORGIA	No
3	103TC0700X	Psychologist	Clinical	PSY002820	GEORGIA	No
4	103TC0700X	Psychologist	Clinical	PSY001469	GEORGIA	No
5	103TC0700X	Psychologist	Clinical	PSY002947	GEORGIA	No
6	103TC0700X	Psychologist	Clinical	PSY002610	GEORGIA	No
7	101YP2500X	Counselor	Professional	LPC003462	GEORGIA	Yes

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
1	S27959	MEDICARE UPIN	GEORGIA
2	80BBFDQ	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	LYNETTE WIEST
3	68BBFTH	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	THOMAS FREEMAN
4	00458818D	MEDICAID	GEORGIA
5	Q06323	MEDICARE UPIN	GEORGIA
6	68BBGRG	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GLENDA BOYD
7	00964598A	MEDICAID	GEORGIA
8	00727658C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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