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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
MRS. THUY KOLIK (VICE PRESIDENT, CFO)
(513) 487-7106
Entity
Organization
Contact information
Practice address
401 E MCMILLAN ST FL 2, CINCINNATI, OH 45206-1922
(513) 487-7106
Mailing address
401 E MCMILLAN ST, CINCINNATI, OH 45206-1922
(513) 487-7106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0259
OH
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10128
—
OH
Enumeration date
03/09/2006
Last updated
04/07/2025
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