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Organization
LIGHTHOUSE PSYCHOTHERAPY LLC
Active
Organization
LIGHTHOUSE PSYCHOTHERAPY LLC
Active
Other names
Lighthouse Psychotherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOSES (OWNER)
(718) 757-1296
Entity
Organization
Contact information
Practice address
297 KINDERKAMACK RD STE 298, ORADELL, NJ 07649-1538
(718) 757-1296
Mailing address
297 KINDERKAMACK RD STE 298, ORADELL, NJ 07649-1538
(718) 757-1296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
12/08/2021
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