LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC NPI 1326879990

NPI Information

  • NPI: 1326879990
  • Provider Name: LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 11D2310663
  • Address: 37 KIKER ST
    ELLIJAY, GA
    ZIP 30540
  • Phone: (706) 636-5483

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NPI Details

LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC is a substance abuse rehabilitation facility in Ellijay, GA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC NPI is 1326879990. The provider is registered as an organization entity type.

The provider's business location address is:

37 KIKER ST
ELLIJAY, GA
ZIP 30540-758
Phone: (706) 636-5483
Fax: (706) 636-5495

The provider's authorized official is Donna Lynn Louhichi .
The authorized official title is Chief Operating Officer and has the following contact phone number (336) 486-7782.

The CLIA number assigned to this NPI record is 11D2310663 - other - narcotic treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2024 and was last updated on 4/30/2025.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 3/30/2025

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