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Organization
HALCYON MANAGEMENT GROUP, INC.
Active
Organization
HALCYON MANAGEMENT GROUP, INC.
Active
Other names
Lighthouse Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY K WYRICK (CHIEF OPERATING OFFICER)
(941) 255-5900
Entity
Organization
Contact information
Practice address
3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
(941) 255-5900
(941) 764-8285
Mailing address
3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
(941) 255-5900
(941) 764-8285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2008AD655206
FL
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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