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Organization
LIGHTHOUSE YOUTH SERVICES INC.
Active
Organization
LIGHTHOUSE YOUTH SERVICES INC.
Active
Other names
Lighthouse Youth & Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
THUY KOLIK (VICE PRESIDENT, CFO & CAO)
(513) 487-7106
Entity
Organization
Contact information
Practice address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-9421
(740) 634-3094
(740) 634-3047
Mailing address
401 E MCMILLAN ST, CINCINNATI, OH 45206-1922
(513) 487-7106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06883
ALCOHOL & DRUG TREATMENT
OH
Enumeration date
03/09/2006
Last updated
04/07/2025
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