# LIGHTHOUSE CARE CENTER OF OCONEE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIGHTHOUSE CARE CENTER OF AUGUSTA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649436015
- **Legal business name:** LIGHTHOUSE CARE CENTER OF AUGUSTA
- **Authorized official:** DEBBY THEIS (CFO)
- **Authorized official phone:** (706) 651-0005

## Contact information

- **Practice address:** 391 WHITE ROCK RD, TAMASSEE, SC 29686-2015
- **Practice address phone:** (864) 944-9875
- **Practice address fax:** (706) 651-7666
- **Mailing address:** 3100 PERIMETER PKWY, AUGUSTA, GA 30909-4583
- **Mailing address phone:** (706) 651-0005
- **Mailing address fax:** (706) 651-7666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 23245800006 | SC | Yes |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 10/07/2008