# HALCYON MANAGEMENT GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Addiction Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164822193
- **Authorized official:** MR. BARRY K WYRICK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (941) 255-5900

## Contact information

- **Practice address:** 3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
- **Practice address phone:** (941) 255-5900
- **Practice address fax:** (941) 764-8285
- **Mailing address:** 3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
- **Mailing address phone:** (941) 255-5900
- **Mailing address fax:** (941) 764-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2008AD655206 | FL | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 08/27/2014