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Organization
LIGHTHOUSE MENTAL HEALTH SERVICES
Active
Organization
LIGHTHOUSE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMOND COLLEY (OWNER)
(256) 325-2500
Entity
Organization
Contact information
Practice address
8215 MADISON BLVD STE 150, MADISON, AL 35758-2034
(256) 325-2500
(866) 896-3657
Mailing address
8215 MADISON BLVD STE 150, MADISON, AL 35758-2034
(256) 325-2500
(866) 896-3657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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