# LIGHTHOUSE RECOVERY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548622723
- **Authorized official:** CYNTHIA HITES PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (419) 303-1311

## Contact information

- **Practice address:** 2934 HANOVER DR, LIMA, OH 45805-2926
- **Practice address phone:** (419) 303-1311
- **Practice address fax:** (419) 463-9255
- **Mailing address:** 825 S CABLE RD STE C, LIMA, OH 45805-3467
- **Mailing address phone:** (419) 303-1311
- **Mailing address fax:** (419) 463-9255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 15423 | OH | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016