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Organization
LIGHTHOUSE YOUTH SERVICES INC.
Active
Organization
LIGHTHOUSE YOUTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILON WINTHER (VICE PRESIDENT, CFO)
(513) 221-3350
Entity
Organization
Contact information
Practice address
131 N LUDLOW ST, SUITE 384, DAYTON, OH 45402-1116
(937) 586-0435
(937) 586-0441
Mailing address
1501 MADISON RD, 2ND, FLOOR, CINCINNATI, OH 45206-1776
(513) 221-3350
(513) 221-3665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0259
OH
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11166
—
OH
Enumeration date
03/09/2006
Last updated
04/07/2025
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